| Objective:By collecting the clinical data and nutritional risk assessment of patients with liver cirrhosis,to analyze the influencing factors and distribution characteristics of TCM syndrome types in patients with liver cirrhosis complicated with sarcopenia.Methods:A total of 244 inpatients with cirrhosis from the fourth affiliated hospital of Xinjiang Medical University from February 2022 to February 2002 were 2023,the demographic information,serological indexes,etiology,complications and the data of four diagnostic methods were collected Nutritional risk screening and nutritional assessment(including dominant handgrip strength,gait speed,triceps skinfold thickness(TSF),upper arm circumference,upper arm circumference(AMC),and calf circumference)were performed The CT imaging data of L3 plane were collected and the skeletal muscle index(SMI)of L3 was calculated.L3-SMI<50 cm~2/m~2(male)or<39 cm~2/m~2(female)was used as the diagnostic criteria of sarcoidosis,the patients were divided into two groups:oligomyopathy group and non-oligomyopathy group.The influencing factors of oligomyopathy were screened by multi-factor Logistic regression analysis,and the distribution characteristics of TCM syndrome types of hepatocirrhosis patients with oligomyopathy were analyzed.Results:1.167(68.4%)patients with liver cirrhosis were complicated with sarcoidosis.2.There were significant differences in age,ascites,spontaneous bacterial peritonitis and MELD high risk(>18 points)between the two groups(P<0.05)There were significant differences in RBC,HGB andĪ²2-mg(P<0.05).3.Nutritional risk assessment:nutritional score,nutritional risk,BMI,dominant hand grip strength,arm circumference,leg circumference,TSF and AMC were significantly different between groups(P<0.05).4.Multivariate Logistic regression analysis showed that increased nutritional score[OR=1.79,95%CI(1.346,2.379),P<0.001]and low BMI[OR=0.718,95%CI(0.649,0.795),P<0.001]were the influential factors in cirrhosis patients with sarcoidosis;5.Yin deficiency of liver and kidney is the most common syndrome in 167 cases of liver cirrhosis with oligomyopathy,followed by stagnation of liver-qi,accumulation of damp-heat,obstruction of collaterals by blood stasis,obstruction of internal water-dampness and yang deficiency of spleen and kidney,there were significant differences between the two groups in yin deficiency of liver and kidney and accumulation of damp-heat(P<0.05).Conclusion:Increased nutritional score and low BMI were the influential factors in cirrhotic patients with sarcopenia.Patients with liver cirrhosis of yin deficiency of liver and kidney and accumulation of damp-heat are more likely to have sarcopenia. |
