CAJ | 학술논문

目的了解中重度心功能不全患者营养状况,为中重度心力衰竭患者进行营养指导提供科学依据.方法应用微型营养评估法对89例中重度心功能不全住院患者进行调查.结果心功能Ⅲ级患者营养状况良好的占9.09%,存在营养不良风险的占24.24%,有确定营养低下的占66.67%;心功能Ⅳ级患者营养状况良好的占7.14%,存在营养不良风险的占26.79%,有确定营养低下的占66.07%;心功能Ⅲ级与Ⅳ级患者营养低下程度组间差异无统计学意义(x2=6.764,P>0.05).结论中重度心功能不全患者多数营养状况不良,早期及定期对患者进行营养评估十分必要.
목적 료해중중도심공능불전환자영양상황,위중중도심력쇠갈환자진행영양지도제공과학의거.방법 응용미형영양평고법대89례중중도심공능불전주원환자진행조사.결과 심공능Ⅲ급환자영양상황량호적점9.09%,존재영양불량풍험적점24.24%,유학정영양저하적점66.67%;심공능Ⅳ급환자영양상황량호적점7.14%,존재영양불량풍험적점26.79%,유학정영양저하적점66.07%;심공능Ⅲ급여Ⅳ급환자영양저하정도조간차이무통계학의의(x2=6.764,P>0.05).결론 중중도심공능불전환자다수영양상황불량,조기급정기대환자진행영양평고십분필요.
Objective To investigate the nutritional status of moderate and severe cardiac insufficient patients, and supply scientific basis for better nutritional direction. Methods A total of 89 cases were investigated according to the mini-nutritional assessment. Results In the patients with classⅢ cardiac function, 9.09% of them had a good nutritional status, 24.04% of them had a risk of malnutrition, 66.67% of them had a confirmed poor nutritional status. While in the patients with classⅣ cardiac function, 7. 14% of them had a good nutritional status, 26. 79% of them had a risk of malnutrition, 66. 07% of them had a confirmed poor nutritional status; there had no significant different nutritional status between patients with classⅢ andⅣ cardiac function (x2 =6. 764, P > 0. 05). Conclusions Most of the moderate and severe cardiac insufficient patients had malnutrition. It' s necessary to evaluate their nutritional status early and regularly.