控制营养状态评分与老年冠心病病人合并心力衰竭的相关性研究

doi:10.3969/j.issn.1003-9198.2024.07.012

摘要/Abstract

摘要： 目的探讨入院时控制营养状态评分(CONUT)与老年冠心病病人合并心力衰竭(心衰)的相关性。方法纳入2016年1月至2022年1月于安徽医科大学第二附属医院行冠脉造影术(CAG)检查确诊冠心病的病人共202例,按照是否合并心衰分为心衰组(63例)和非心衰组(139例)。采用多因素Logistics 回归分析冠心病病人发生心衰的影响因素,绘制ROC曲线分析相关因素对老年冠心病合并心衰的预测价值。结果心衰组年龄、高龄病人比例、UA水平、Gensini积分及CONUT评分均高于非心衰组,血清白蛋白水平和TG水平低于非心衰组,差异均有统计学意义(P＜0.05)。多因素Logistic回归分析显示,UA、Gensini评分及CONUT评分是冠心病病人发生心衰的影响因素。CONUT评分、 UA、Gensini积分及 3项联合预测冠心病病人发生心衰的AUC分别为0.587、0.685、0.614及0.729。结论 CONUT评分在老年冠心病病人合并心衰时明显升高,且其对老年冠心病合并心衰有一定的预测价值。

关键词: 冠心病, 心力衰竭, 控制营养状态评分, Gensini积分

Abstract: Objective To investigate the correlation between controlling nutritional status score(CONUT) and heart failure(HF)in the elderly patients with coronary artery disease(CAD). Methods A total of 202 patients who underwent coronary angiography(CAG) in the Second Affiliated Hospital of Anhui Medical University from January 2016 to January 2022 were enrolled, and they were divided into HF group(n=63) and non-HF(NHF) group(n=139). Multivariate Logistic regression was used to analyze the risk factors for HF in the elderly CAD patients . The predictive value of the related index was analyzed by receiver operating characteristic(ROC) curve. Results The age, proportion of advanced age, level of uric acid(UA), the socres of Gensini and CONUT were significantly higher and the levels of serum albumin and triglyceride(TG) were significantly lower in HF group than those in NHF group(P<0.05). Multivariate Logistic regression analysis showed that UA, Gensini score and CONUT score were the risk factors for HF in the elderly patients with CAD. The areas under the ROC curve(AUC) of CONUT score, UA, Gensini score and the combination of three indicators in predicting HF in the elderly patients with CAD were 0.587,0.685,0.614 and 0.729 respectively. Conclusions CONUT score is high in the elderly CAD patients with HF, and it has certain predictive value for the incidence of HF in the elderly patients with CAD.

Key words: coronary heart disease, heart failure, control nutritional status score, Gensini score

中图分类号:

张晶晶, 祝小霞, 姚春雷, 王玮. 控制营养状态评分与老年冠心病病人合并心力衰竭的相关性研究[J]. 实用老年医学, 2024, 38(7): 697-700.

ZHANG Jingjing, ZHU Xiaoxia, YAO Chunlei, WANG Wei. Correlation between control nutritional status score and heart failure in elderly patients with coronary artery disease[J]. Practical Geriatrics, 2024, 38(7): 697-700.

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