代谢车测定法在老年冠心病营养治疗中的应用效果

Effect of Metabolic Vehicle Measurement in the Nutritional Treatment of Coronary Heart Disease in the Elderly

目的:探讨代谢车测定法在老年冠心病营养治疗患者中的应用对其营养指标的影响。方法:选取2021年1月—2023年6月在常熟市第二人民医院住院的124例老年冠心病患者,随机分组为研究组和对照组,每组各62例。研究组运用代谢车测定法测定患者的静息能量消耗,并实施针对性营养治疗,对照组则采用常规Harris-Benedict(HB)公式计算静息能量消耗值并实施营养治疗。比较两组开展营养治疗前后体重指数(BMI)、前白蛋白、转铁蛋白等指标情况。结果:干预前后研究组静息能量消耗值均高于对照组,差异有统计学意义(P<0.05);干预后研究组上臂围、小腿围大于对照组,BMI、前白蛋白、转铁蛋白指标水平高于对照组,甘油三酯、总胆固醇低于对照组,差异有统计学意义(P<0.05)。研究组住院期间消化系统并发症发生率明显低于对照组,出院时存在营养风险患者占比明显低于对照组,差异有统计学意义(P<0.05)。结论:代谢车测定法应用于老年冠心病营养治疗患者中,提高了静息能量消耗值计算的准确性,为患者规范营养治疗提供了可靠的量化参考指标,在改善患者营养状况及降低消化系统并发症发生率等方面效果显著。

Objective:To investigate the effect of metabolic vehicle measurement in elderly patients.Method:A total of 124 elderly patients with coronary heart disease hospitalized in the Second People's Hospital of Changshu City from January 2021 to June 2023 were selected and randomly divided into study group and control group,with 62 cases in each group.The resting energy expenditure of the patients in the study group was measured by metabolic vehicle assay,and targeted nutritional treatment was implemented,while the resting energy expenditure value of the patients in the control group was calculated by conventional Harris-Benedict(HB)formula,and nutritional treatment was implemented.The indexes of body mass index(BMI),prealbumin and transferrin before and after nutritional treatment were compared between the two groups.Result:The resting energy expenditure of the study group was higher than that of the control group before and after intervention,and the difference was statistically significant(P<0.05).After intervention,the upper arm circumference and calf circumference of the study group were higher than those of the control group,the index levels of BMI,prealbumin and transferrin were higher than those of the control group,and the triglyceride and total cholesterol were lower than those of the control group,with statistical significance(P<0.05).The incidence of digestive complications during hospitalization in the study group was significantly lower than that in the control group,and the proportion of patients with nutritional risk at discharge was significantly lower than that in the control group,with statistical significance(P<0.05).Conclusion:The application of metabolic car assay in elderly patients with coronary heart disease can improve the accuracy of the calculation of resting energy expenditure,provide a reliable quantitative reference index for patients with standardized nutritional treatment,and have significant effects in improving the nutritional status of patients and reducing the incidence of digestive complications.