Abstract: Objective To investigate the nutritional risk status of patients with decompensated alcoholic liver cirrhosis and the related influencing factors.Methods One hundred and eighty-six patients with decompensated alcoholic cirrhosis in our hospital were selected. The clinical data of the patients were collected, and a questionnaire was issued to investigate the nutritional risk, family care and dietary behavior of the patients. The nutritional risk status of patients and the relevant influencing factors were analyzed.Results Among the patients with decompensated alcoholic liver cirrhosis, 110 cases with nutritional risk and 76 cases without nutritional risk. The incidence of nutritional risk was 59.14%. The scores of dietary behavior and family care in the nutrition risk group [(30.99 ± 7.17) and (6.48 ± 2.01)] were significantly lower than those in the non nutrition risk group [(45.85 ± 6.87) and (7.90 ± 1.67)], (P<0.05). There was no significant difference in family monthly income, occupation and BMI between the 2 groups (P>0.05). Compared with the non nutritional risk group, the nutritional risk group had higher proportions of people aged 60 ~ 75 and > 75, unmarried/divorced ratio, Child Pugh grade B and C, with portal hypertension, pleural/peritoneal effusion and hypoproteinemia, a lower proportion of junior high school education and below and family care < 7 and dietary behavior < 35 (P<0.05). Based on the analysis, age > 75, Child Pugh grade C, unmarried/divorced ratio, portal hypertension, pleural/peritoneal effusion, hypoproteinemia, family care < 7 points and dietary behavior < 35 points were the risk factors of nutritional risk (OR=1.669, 1.417, 2.305, 1.338, 1.296, 1.605, 1.315, 1.617, P<0.05). College degree or above was the protective factor (OR=0.854, P<0.05).Conclusion Nutritional risk is common in patients with decompensated alcoholic liver cirrhosis, and the incidence of malnutrition is high. Age, portal hypertension, hypoproteinemia, dietary behavior and family care are the influencing factors of nutritional status. Patients with decompensated alcoholic liver cirrhosis should be screened for nutritional risk, and intervention measures should be taken timely.

Key words: Alcoholic cirrhosis, Decompensation period, Nutritional risk, Influence factor