老年慢性心衰患者营养状况与预后的关系  

Correlation between hypoalbuminemia and prognosis in aged patients with chronic heart failure

作　　者：蔡松[1] 

机构地区：[1]北京隆福医院内分泌科,北京市100010

出　　处：《心血管康复医学杂志》2010年第2期164-165,共2页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:观察住院老年慢性心衰患者低白蛋白血症的发病率及其与心力衰竭严重程度、住院时间和转归的关系。方法:近两年我院住院治疗的慢性心衰患者102例,根据血浆白蛋白水平分为两组,即正常对照组和低白蛋白血症组。分析其平均住院时间和死亡率。结果:住院慢性心衰老年患者存在低白蛋白血症者占52.9%,与对照组比较,低白蛋白血症者的平均住院日[(20.3±11.7)d∶(29.7±19.2)d,P<0.05]、D级心衰发生率(29.2%∶74.0%,P<0.01)显著升高,但两组死亡率无显著差异。结论:住院的老年慢性心衰患者低白蛋白血症的发生率较高,病情更重,应予足够重视。Objective： To study the correlation between hypoalbuminemia and prognosis in aged patients with chronic heart failure （CHF）. Methods： A total of 102 aged CHF patients with cardiac function of C or D grade were divided into hypoproteinemia group and normal control group according serum albumin level. The mean time in hospital, incidence of cardiac function D grade, mortality rate were analyzed between two groups. Results： The patients with hypoproteinemia occupied 52.9%. Compared with normal control group, the hypoproteinemia group had more D grade of CHF（29.2% vs. 74.0%, P〈0.01） and longer time in hospital [ （20.3±11.7） dvs. （29.7±19.2） d, P〈 0.05）. But there was no significant different in mortality rate between two groups （P〉0.05）. Conclusion：. The severity degree of CHF is related to hypoalbuminemia, so must pay great attention for it.

关 键 词：老年人 心力衰竭 充血性 低白蛋白血症 

分 类 号：R541.6[医药卫生—心血管疾病]