摘要
目的探讨老年心力衰竭(心衰)患者营养状态的调查及与生存质量的关系。方法选择2018年4月至2021年2月于阜阳市人民医院老年医学科就诊的145例老年心衰患者为研究对象,根据患者的营养状况水平分为营养不良风险组(n=65)、营养不良组(n=45)和对照组(即营养状况良好,n=35),分析3组患者的血红蛋白、淋巴细胞绝对值、体质指数(BMI)、白蛋白、微型营养评估量表(MNA)评分、明尼苏达CHF生活质量调查表(LiHFe)评分水平变化情况之间的相关性。结果本研究中营养不良风险检出率为44.83%(65/145);营养不良检出率为31.03%(45/145);三组患者BMI水平无显著差异;营养不良组患者的血红蛋白、淋巴细胞绝对值、白蛋白及MNA评分显著低于营养不良风险组和对照组,营养不良风险组患者血红蛋白、淋巴细胞绝对值、白蛋白及MNA评分均显著低于对照组,差异有统计学意义(P<0.05);营养不良组患者体力限制、社会限制、经济限制、症状、情绪及LiHFe总分显著高于营养不良风险组和对照组;营养不良风险组患者体力限制、社会限制、经济限制、症状、情绪及LiHFe总分显著高于对照组,差异有统计学意义(P<0.05)。相关性分析结果显示,BMI和LiHFe评分间无显著相关(P>0.05),血红蛋白、淋巴细胞绝对值、白蛋白、MNA评分均和LiHFe评分间呈负相关(P<0.05)。结论老年心衰患者中营养不良情况普遍存在,与生存质量关系密切,在临床中应尽早干预以提高疗效。
Objective To discuss the relationship between the survey on nutritional status and quality of life(QOL)in elderly patients with heart failure(HF).Methods Elderly patients with HR(n=145)were chosen from Department of Geriatrics,in People’s Hospital of Fuyang City from Apr.2018 to Feb.2021,and divided,according to their nutritional status,into malnutrition risk group(n=65),malnutrition group(n=45)and control group(with good nutritional status,n=35).The changes of hemoglobin(Hb),absolute value of lymphocyte(LYM),body mass index(BMI),albumin(ALB),scores of Mini-Nutritional Assessment(MNA)and scores of Minnesota Living with Heart Failure Questionnaire(LiHFe)were analyzed and compared in 3 groups.Results The detection rate of malnutrition risk was 44.83%(65/145)and detection rate of malnutrition was 31.03%(45/145).There was no significant difference in BMI level among 3 groups.Hb,LYM,ALB and MNA scores were significantly lower in malnutrition group than those in malnutrition risk group and control group,and were significantly lower in malnutrition risk group than those in control group(P<0.05).The physical limitation,social limitation,economic limitation,symptoms,emotions and total LiHFe score were significantly higher in malnutrition group than those in malnutrition risk group and control group,and were significantly higher in malnutrition risk group than those in control group(P<0.05).The results of correlation analysis showed that BMI was not correlated to LiHFe scores(P>0.05),and Hb,LYM,ALB and MNA scores were all negatively correlated to LiHFe scores(P<0.05).Conclusion Malnutrition is common in elderly patients with HF and closely related to QOL,which should be given timely intervention to improve therapeutic effect.
作者
卢伟
刘文超
喻晓雨
李停停
Lu Wei;Liu Wenchao;Yu Xiaoyu;Li Tingting(Department of Geriatrics,People's Hospital of Fuyang City,Fuyang 236000,China;不详)
出处
《中国循证心血管医学杂志》
2022年第3期356-358,共3页
Chinese Journal of Evidence-Based Cardiovascular Medicine
关键词
老年
心力衰竭
营养状态
生存质量
Elderly
Heart failure
Nutritional status
Quality of life
