老年女性心力衰竭患者营养状况与预后相关分析

Correlation analysis of nutritional status and prognosis for heart failure in elderly women

目的研究简易营养评价精简量表(mini nutritional assessment short-form version,MNA-SF)在老年女性心力衰竭患者营养不良风险评估中的应用价值及其与老年女性心力衰竭患者不良预后的关系。方法选取2018年1月1日-2020年1月1日于我院住院治疗的老年女性心力衰竭患者279例,收集患者临床资料,分析其临床特征;并采用MNA-SF评分评估患者营养状况,探究MNA-SF评分与患者预后相关性。结果心功能Ⅳ级组营养不良发生率高于心功能Ⅱ、Ⅲ级组(93.3%vs 69.4%,76.3%,P=0.035);MNA-SF评分与B型钠尿肽前体(NT-proBNP)呈负相关(r=-0.382,P<0.01);营养不良组NT-proBNP水平显著高于营养正常组(P<0.01),心脏不良事件发生率显著高于营养正常组(28.6%vs 12.1%,P=0.007)。结论老年女性心力衰竭患者营养不良发生率高,MNA-SF评分可作为老年女性心力衰竭患者营养状况的有效评估指标,营养状况评估对预后具有重要意义。

Objective To explore the application value of mini nutritional assessment short-form version(MNA-SF)for assessing nutritional status of heart failure(HF)in elderly women and its relationship with poor prognosis.Methods The data of 279 elderly HR women,who treated in our hospital from January 1,2018 to January 1,2020 were enrolled to analyze the clinical characteristics.MNA-SF score was used to assess the nutritional status,and the correlation between MNA-SF score and prognosis was explored.Results Malnutrition rate of cardiac function levelⅣin those patients was significantly higher than that of cardiac function levelⅡ,Ⅲ(93.3%vs 69.4%,76.3%,P=0.035).MNA-SF was negatively related to N-terminal pro-B-type natriuretic peptide(NT-proBNP)(r=-0.382,P<0.01),NT-proBNP level of malnutrition patients was significantly higher than that of normal patients(P<0.01)and with significantly higher the adverse incidence for HR(28.6%vs 12.1%,P=0.007).Conclusion For elderly HR women the incidence of malnutrition is common.MNA-SF score can be used to evaluate for their nutritional status,with great significance for prognosis.