Application Value Of RFH-NPT In Nutritional Assessment Of Inpatients With Cirrhosis

Objective:Compare the difference between the Royal Free Hospital-Nutritional Prioritizing Tool（RFH-NPT）to Nutrition Risk Screening-2002（NRS-2002）on liver cirrhosis,and analyze their respective relationship between the evaluation results and Child-Pugh grading,traditional nutritional evaluation index,body measurement index,cirrhotic ascites,upper gastrointestinal bleeding and infection of liver cirrhosis to select a more suitable method for assessing nutritional risk in patients with cirrhosisMethods:117 patients with cirrhosis admitted to the from February 2018 to August 2018 were included,and information collection,blood sampling test,and human body index measurement were improved,Child-Pugh liver function classification was applied,and nutritional risk assessment was conducted for the patients by RFH-NPT and NRS2002respectively to analyze the differences between them.Results:1.The results of nutrition risk assessment for different Child-Pugh classification patients were significantly different.The incidence of nutrition risk increased with the decline of hepatic function reserve(P_NRS-2002=0.009;P_RFH-NPT=0.019),and the two nutrition risk assessment tools showed no significant difference in the nutrition risk screening rate for patients with liver cirrhosis.2.Using RFH-NPT evaluation,BMI,albumin,hemoglobin,anterior albumin,triceps skinfold thickness and biceps circumference were frankly lower in the group with nutritional risk than in the group without nutritional risk(P_BMI=0.000,P_ALB=0.005,P_PAB=0.001,P_HB=0.045,P_TSF=0.003,P_AC=0.024).As assessed by NRS2002,there were differences in albumin,anterior albumin,triceps skin fold thickness andupperarmcircumferenceinthetwogroups(P_ALB=0.000,P_PAB=0.027,P_TSF=0.015,P_AC=0.009),but no significant differences in BMI or hemoglobin(P_BMI=0.127,P_HB=0.570).3.The results of RFH-NPT were correlated with traditional nutritional evaluation indexes,human measurement indexes,ascites of cirrhosis,upper gastrointestinal bleeding,infection,etc.,while the results of NRS2002 were not correlated with BMI or ascites of cirrhosis.Conclusion:Application RFH-NPT and NRS2002 nutrition risk assessment in patients with cirrhosis of the liver,the screening result no significant difference,and RFH-NPT and traditional common nutritional assessment index,body measurement index and common complications were correlation,and the traditional nutritional evaluation index in the group of nutritional risk and there is no nutritional risk have obvious difference,therefore,RFH-NPT is more suitable for in patients with cirrhosis clinical nutrition risk assessment,in order to early intervention in patients with nutritional risk,improve the prognosis of patients.