心衰患者三种营养风险筛查工具的适用性比较  

Clinical research of different nutritional risk screening tools in hospitalized patients with chronic heart failure

作　　者：胡淼[1] 王萍[1] HU Miao;WANG Ping(Department of Pharmacy,The Second Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210011,China)

机构地区：[1]南京医科大学第二附属医院药学部,江苏南京210011

出　　处：《医药前沿》2021年第4期10-12,共3页Journal of Frontiers of Medicine

基　　金：三种营养筛查工具用于慢性心力衰竭患者营养筛查的比较研究(2016YX012);南京药学会-常州四药医院药学科研基金项目。

摘　　要：目的:比较NRS2002和SGA、MNA三种营养风险筛查工具对于心衰患者的适用性。方法:分别应用三种营养风险筛查工具对我院2018年6—9月间收治的110例慢性心力衰竭患者进行营养风险筛查。以ESPEN营养不良诊断标准为“金标准”,评价三种筛查工具的特异性和敏感性以及对临床结局的预测性。结果:NRS2002的敏感性、特异性较高,其AUC曲线下面积为0.807。回归分析中,NRS2002可独立预测住院周期、营养相关并发症(感染),SGA可独立预测住院周期。结论:三种筛查工具中,NRS2002作为心衰患者营养风险筛查工具适用性最高。Objective To compare the applicability of NRS2002,SGA and MNA nutritional risk screening tools for patients with heart failure.Methods Three nutritional risk screening tools were applied to 110 patients with chronic heart failure admitted to our hospital from June to September 2018 for nutritional risk screening.The specificity and sensitivity of the three screening tools,as well as the predictive ability of clinical outcomes,were evaluated using the Espen diagnostic criteria for malnutrition as the"gold standard".Results The sensitivity and specificity of NRS2002 were high,and the area under the AUC curve was 0.807.In regression analysis,NRS2002 could independently predict hospitalization duration,nutritionrelated complications(infection),and SGA could independently predict hospitalization duration.Conclusions Among the three screening tools,NRS2002 has the highest applicability as a screening tool for nutritional risk in patients with heart failure.

关 键 词：营养筛查工具 营养风险 慢性心力衰竭 

分 类 号：R541[医药卫生—心血管疾病]