摘要
目的：了解慢性心力衰竭患者的营养状况,并对常用的营养检测指标进行评估。方法：对48例心功能Ⅲ~Ⅳ级（NYHA分级）的慢性心力衰竭患者进行了营养状况的评估,并进行分组（营养正常组28例,营养不良组20例）,同时对营养不良的常用检测指标进行评价。结果：本研究营养不良的发生率为41.7%,除运铁蛋白外,体重、中上臂肌围、三头肌皮褶厚度（TSF）、白蛋白、总淋巴细胞计数（TLC）、肌酐/身高指数在两组间差异均有统计学意义（P〈0.05~0.001）。结论：严重慢性心力衰竭患者营养不良的发生率高,肌酐/身高指数、中上臂肌围、TSF、白蛋白及TLC五项指标在用于慢性心衰患者的营养评估时具重要的参考意义,其敏感性和特异性均大于50%。
Objective： To assess the nutrition status in patients with chronic heart failure （CHF）and the common nutrition evaluating parameters. Methods： Forty-eight CHF patients （Ⅲ-Ⅳ, NYHA） underwent nutrition evaluation and were divided into two groups [normal nutrition group （n=28） and malnutrition group （n=20）]. We also assessed the common nutrition evaluating parameters. Results： The incidence of malnutrition in CHF patients was 41.7 %. All of the evaluating parameters, except transferrin, had significant differences between the two groups （P〈0.05-0.001）. Conclusion： The incidence of malnutrition in severe CHF patients is high. The parameters including creatinine/height index, upper ann muscle circumference, tricep skinfold thickness, total lymphocyte count and serum albumin were of great value by evaluating the nutrition status of CHF patients.
出处
《现代生物医学进展》
CAS
2014年第28期5529-5531,5543,共4页
Progress in Modern Biomedicine
关键词
心力衰竭
恶液质
营养不良
评估
Heart failure
Cachexia
Malnutrition
Evaluation
