解放军医学院学报2017，Vol.38Issue(4)：297-300,4.DOI:10.3969/j.issn.2095-5227.2017.04.002
入院营养状态对超高龄高血压患者近期非致死性心血管事件发生率的影响
Impact of nutrition status on admission on the incidence of non-fetal cardiovascular events in super-elderly hypertensive patients
摘要
Abstract
Objective To discuss the effect of nutritional status on admission on incidence of non fatal cardiovascular events within 90 d in super elderly patients with hypertension in hospital. Methods This is a cohort study. The patients aged over 80 with hypertension hospitalized in Chinese PLA General Hospital from Jan 2011 to Dec 2013 were chosen. According to the nutritional status on admission, patients were divided into four groups and the incidences of non- fatal cardiovascular events at 7 d (D7), 14 d (D14), 30 d (D30) and 90 d (D90) were recorded. Results Those patients scored high for controlling nutritional status (CONUT) which means worse nutritional status showed higher incidence of non-fetal cardionvascular events (x2=97.448, P=0.0000). Logistic regression analysis showed that CONUT was independent risk factor of non-fatal cardiovascular events (OR=1.188, 95% CI:1.042-1.354, P=0.01). Conclusion In super elderly patients with hypertension, the nutritional status on admission is independent risk factor of non fatal cardiovascular events. Increased CONUT means worse nutritional status, which links to poor prognosis. The effective treatment of mulnutrition may reduce the unfavorable prognosis in the super-elderly hypertensive patients.关键词
营养状态/非致死性心血管事件/高血压/老年人,80岁以上Key words
nutritional status/non-fatal cardiovascular events/hypertension/aged/80 and over分类
医药卫生引用本文复制引用
孙晓楠,骆雷鸣,赵晓茜,杜瑞雪,郑瑾..入院营养状态对超高龄高血压患者近期非致死性心血管事件发生率的影响[J].解放军医学院学报,2017,38(4):297-300,4.基金项目
部委级资助项目 （）
军队保健专项科研课题(2012-12BJZ34) Supported by the Health Care Special Project of Chinese PLA (2012-12BJZ34) （2012-12BJZ34）
