耿瑜, 李小明. 营养状况与心力衰竭患者短期预后的相关性[J]. 心脏杂志, 2019, 31(2): 174-176. DOI: 10.12125/j.chj.201807050
    引用本文: 耿瑜, 李小明. 营养状况与心力衰竭患者短期预后的相关性[J]. 心脏杂志, 2019, 31(2): 174-176. DOI: 10.12125/j.chj.201807050
    Yu GENG, Xiao-ming LI. Relationship between nutritional screening and short-term prognosis in patients with heart failure[J]. Chinese Heart Journal, 2019, 31(2): 174-176. DOI: 10.12125/j.chj.201807050
    Citation: Yu GENG, Xiao-ming LI. Relationship between nutritional screening and short-term prognosis in patients with heart failure[J]. Chinese Heart Journal, 2019, 31(2): 174-176. DOI: 10.12125/j.chj.201807050

    营养状况与心力衰竭患者短期预后的相关性

    Relationship between nutritional screening and short-term prognosis in patients with heart failure

    • 摘要:
      目的使用生化指标参数(血清白蛋白和胆固醇水平)和免疫指标参数(总淋巴细胞计数)来评估营养状况,分析营养状况与心力衰竭(HF)患者的短期预后的关系。
      方法选取诊断为HF的住院患者873例,最终纳入试验505例,其中中途转院患者36例,本院自始至终观察的患者469例,这469例患者按其预后分为死亡组(n=17)和缓解出院组(n=452),通过营养状况评分来评估患者营养状况。
      结果单因素分析,与疾病缓解出院的患者相比,院内死亡患者的营养状况评分显著增高(P<0.05)。多因素分析显示,营养不良评分是HF患者预后的独立相关因素(P<0.05)。
      结论营养筛查可以预测住院心衰患者的短期预后。

       

      Abstract:
      AIMUsing biochemical parameters (serum albumin and cholesterol levels) and immune parameter parameters (total lymphocyte counts) to assess nutritional status, studies to control whether nutritional status can predict the relationship between short-term prognosis in patients with heart failure (HF).
      METHODS873 hospitalized patients with heart failure were selected, and 505 patients were included in the trial. Among them, 36 patients were transferred to the hospital, and 469 patients were observed from the beginning to the end. These 469 patients were divided into death groups according to their prognosis (n=17). And the relief discharge group (n=452), volunteered to cooperate with the experimental study, and assessed the nutritional status of the patient by controlling the nutritional status score.
      RESULTSUnivariate analysis showed that the control nutritional status scores of hospitalized patients were significantly higher than those of patients with disease remission (P<0.05). Multivariate analysis showed that malnutrition score was an independent predictor of prognosis in patients with HF (P<0.05).
      CONCLUSIONNutrition screening can predict short-term prognosis in hospitalized patients with heart failure.

       

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