CAJ | 학술논문

目的观察营养风险筛查2002(nutrition risk screening 2002,NRS 2002)评分系统在我国冠心病患者的适用性及评分结果与心功能的关系.方法对我院2012年3-7月收治的冠心病合并糖尿病患者120例,依照NRS2002评分标准进行营养风险评分,并观察其与心功能的关系.结果120例中,营养风险评分<3分83例,占69.2%;≥3分37例,占30.8%.≥3分组较<3分组心功能差,<3分组心脏射血分数(ejection fraction,EF)值为56.55%±7.58%,≥3分组EF值为51.00%±9.60%,差异具有统计学意义(P<0.01).<3分组心功能Ⅲ级和Ⅳ级者占总体的5.8%,而≥3分组占17.5%.NRS2002评分与心功能分级呈正相关,相关系数为0.643(P<0.01).结论应用NRS2002可以了解患者营养状态,对提示冠心病合并糖尿病患者不良临床结局风险有一定意义.
목적관찰영양풍험사사2002(nutrition risk screening 2002,NRS 2002)평분계통재아국관심병환자적괄용성급평분결과여심공능적관계.방법대아원2012년3-7월수치적관심병합병당뇨병환자120례,의조NRS2002평분표준진행영양풍험평분,병관찰기여심공능적관계.결과120례중,영양풍험평분<3분83례,점69.2%;≥3분37례,점30.8%.≥3분조교<3분조심공능차,<3분조심장사혈분수(ejection fraction,EF)치위56.55%±7.58%,≥3분조EF치위51.00%±9.60%,차이구유통계학의의(P<0.01).<3분조심공능Ⅲ급화Ⅳ급자점총체적5.8%,이≥3분조점17.5%.NRS2002평분여심공능분급정정상관,상관계수위0.643(P<0.01).결론응용NRS2002가이료해환자영양상태,대제시관심병합병당뇨병환자불량림상결국풍험유일정의의.
Objective To observe the relation between nutrition risk score on nutrition risk screening 2002 (NRS 2002) scoring system and heart function in patients with coronary heart disease accompanying diabetes mellitus (DM). Methods Relation between nutrition risk score on the NRS2002 scoring system and heart function was observed in 120 patients with coronary heart disease accompanying DM admitted to our hospital from March 2012 to July 2012. Results The nutrition risk score was<3 and≥3 in 83 (69.2%) and 37 (30.8%) out of 120 patients, respectively. The heart function was poorer in the patients with their nutrition risk score≥3 than in those with their nutrition risk score<3. The EF was 56.55%±7.58%and 51.00%±9.60%for the patients with their nutrition risk score≥3 and for those with their nutrition risk score<3, respectively (P<0.01). The heart function gradesⅢandⅣaccounted for 5.8%and 17.5%in the patients with their nutrition risk score<3 and in those with their nutrition risk score≥3, respectively. The nutrition risk score on the NRS2002 scoring system was positively related with the heart function grade with a correlation coefficient of 0.643 (P < 0.01). Conclusion NRS2002 scoring system can show the nutritional status of patients with coronary heart disease accompanying DM, thus playing a certain role in predicting the adverse clinical outcome of such patients.