慢性心力衰竭患者营养状况的评估  

The Evaluation of Nutrition Status in Patients with Chronic Heart Failure

作　　者：裴力刚[1] 李晓宏[1] 谢峻[1] 余洪松[1] 徐伟[1] 

机构地区：[1]南京大学医学院附属鼓楼医院心脏科,江苏南京210008

出　　处：《现代生物医学进展》2014年第28期5529-5531,5543,共4页Progress in Modern Biomedicine

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.

关 键 词：心力衰竭 恶液质 营养不良 评估 

分 类 号：R541.6[医药卫生—心血管疾病]