老年冠心病患者营养风险与各项指标的关系

doi:10.3969/j.issn.1000-8535.2019.01.006

广州医药 ›› 2019, Vol. 50 ›› Issue (1): 24-27.DOI: 10.3969/j.issn.1000-8535.2019.01.006

老年冠心病患者营养风险与各项指标的关系

黄珮, 蒋作锋, 余慧文, 江颖娟, 吴文法

广州市红十字会医院,暨南大学医学院附属广州红十字会医院全科医学科（广州 510220)

收稿日期:2018-08-30 出版日期:2019-01-20 发布日期:2021-12-21
通讯作者: 余慧文,E-mail：yuhwgz@163.com

Correlation between nutritional risk and some indicators in elderly CHD patients

HUANG Pei, JIANG Zuofeng, YU Huiwen, JIANG Yingjuan, WU Wenfa

Department of General Medicine,Guangzhou Red Cross Hospital,Medical College, Jinan University,Guangzhou 510220,China

Received:2018-08-30 Online:2019-01-20 Published:2021-12-21

摘要/Abstract

摘要： 目的应用NRS2002、MNA-SF两种营养筛查方法评估住院老年冠心病患者营养风险,观察营养风险与营养指标及心功能的关系。方法选取2017年8月-2018年6月在我院全科医学科住院的老年冠心病患者129例,使用两种方法分别进行营养筛查,分成存在营养风险组和不存在营养风险组,完善血常规、生化、心功能检查,统计两组各项指标之间的关系,及两种营养筛查方法与各项指标的相关性。结果 NRS2002筛查出营养风险发生率为38.76%,MNA-SF筛查出营养风险发生率75.97%。与不存在营养风险组比较,存在营养风险组的BMI、HB、ALB下降,且NRS-2002评分中存在营养风险组pro-BNP较不存在营养风险组明显升高。两种营养筛查方法与HB、PA、ALB、pro-BNP均有相关性。结论运用两种营养筛查方法,结合各项指标能更好对老年冠心病患者进行营养风险评估。

关键词: 冠心病, NRS2002, MNA-SF, 营养指标, 心功能

Abstract: Objective To analyze the preoperative nutritional screening results of the nutritional risk screening 2002（NRS2002） and the Mini Nutritional Assessment Short Form（MNA-SF） in 129 elderly patients with coronary heart disease and their relationships with some nutritional indicators and heart function. Methods NRS2002 and MNA-SF were used to evaluate the nutritional risk of 129 elderly patients with coronary heart disease. We divided the patients into nutritional risk group and non- nutritional risk group. The relationships between two groups with the nutritional indicators and the heart function were analyzed,and the value of the two nutritional screening tools was compared. Results The incidence rate of malnutrition by using NRS2002 was 38.76% and that of MNA-SF was 75.97% among 129 CHD patients. The nutritional risk group had lower BMI,HB and ALB. Nutritional risk group that was screened by NRS2002 had higher pro-BNP. And the two nutritional risk texts were related to HB,PA,ALB and pro-BNP. Conclusion It would be better to use two methods and some indicators to analyze the nutritional risk in elderly CHD patients in the hospital.

Key words: Coronary heart disease, Nutritional risk screening 2002, Mini nutritional assessment short form, Nutritional indicator, Heart function

黄珮, 蒋作锋, 余慧文, 江颖娟, 吴文法. 老年冠心病患者营养风险与各项指标的关系[J]. 广州医药, 2019, 50(1): 24-27.

HUANG Pei, JIANG Zuofeng, YU Huiwen, JIANG Yingjuan, WU Wenfa. Correlation between nutritional risk and some indicators in elderly CHD patients[J]. Guangzhou Medical Journal, 2019, 50(1): 24-27.

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老年冠心病患者营养风险与各项指标的关系

Correlation between nutritional risk and some indicators in elderly CHD patients

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