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摘要：
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摘要：为掌握肝硬化营养不良检测手段和评估工具的新动态，本文查阅国内外近年公开发表的有关
肝硬化营养不良文献，从肝硬化营养分类、筛查手段及评估工具等方面进行归纳总结。体重指数
（body mass index，BMI）、上臂围、肱三头肌皮褶厚度、手握力和拇内收肌厚度等人体指标是肝硬
化患者营养不良直接有效的检测手段。生物电的人体成分分析和影像学断面扫描的第三腰椎骨骼肌
指数（lumbar 3 skeletal muscle index，L3-SMI）是近年来应用较多的营养检测手段，但易受设备条件
的影响。改良主观全面评估工具（patient-generated subjective global assessment，PG-SGA）和营养风
险筛选工具2002（nutrition risk screening method，NRS-2002）是肝硬化营养不良评估的敏感工具，主
观全面评估工具（subjective global assessment，SGA）、微营养评定工具（mini nutrition assessment，
MNA）、微营养评定短表（mini nutrition assessment-short form，MNA-SF）和营养不良通用筛查工具
（malnutrition universal screening tool，MUST）等不宜作为肝硬化患者营养不良的独立评估工具。
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Abstract: To grasp the new trends of detection methods and evaluation tools for liver cirrhosis malnutrition,
the recent literature on cirrhosis malnutrition were consulted and classified according to cirrhosis nutrition
classification, screening methods and evaluation tools. Body mass index (BMI), mid-arm circumference,
triceps skin fold, hand grip strength, adductor pollicis muscle and other human indicators were direct and
sensitive means of nutritional testing for patients with liver cirrhosis. Bioelectricity and lumbar 3 skeletal
muscle index (L3-SMI) of imaging technology were widely used in recent years, which were susceptible to
equipment conditions. Patient-generated subjective global assessment (PG-SGA) and nutrition risk screening
method (NRS-2002) were sensitive tools for evaluating malnutrition in liver cirrhosis. Subjective global
assessment (SGA), mini nutrition assessment (MNA), mini nutrition assessment-short form (MNA-SF)
and malnutrition universal screening tool (MUST) were not suitable as independent screening methods for
patients with liver cirrhosis.
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