Analysis Of Biochemical Indicators And Nutritional Risk Of 200 Patients With Chronic Heart Failure In A Hospital In Changchun City

Objective:To understand the status of nutritional risk and to analyze the incidence of nutritional risk at all levels of blood biochemical indicators in patients with chronic heart failure?CHF?.To provide a reference for nutritional intervention in patients with nutritional risk,thereby reducing the incidence of infection and other related complications during hospitalization of patients with heart failure.Method:This study includes 200 patients with CHF who were admitted to the Cardiovascular Department of a third-class hospital in Changchun from January 2018to June 2018.Score of nutritional risk was calculated by the NRS2002 scale,and performed by collecting information such as basic patient status,physical indicators,clinical indicators,and cardiac function indicators.The database were established using SPSS17.0 and be used to analyze the status of nutritional risk and the incidence of nutritional risk at all levels of blood biochemical indicators in patients with CHF.Results:1.The majority of patients 72.5%were above the age of 60 years;among them62.5%were males,and 37.5%were females;among them,the highest number of patients were junior high school students,the proportion of junior high school students was 42.0%;the majority of patients 38.0%have an annual income of 10,000to 30,000 RMB.The patients with BMI index ranging from 18.5 to 23.9 kg/m² was41.0%.2.The electrolyte concentration in most patients with chronic heart failure was within the normal range:the normal range of Cl^-concentration?ranging from 99 to110 mmol/L?was 49.0%;the normal range of Na⁺concentration?ranging from 137 to147 mmol/L?was 75.0%;the normal range of K⁺concentration?ranging from 3.5 to5.3 mmol/L?was 78.0%;and the normal range of Ca²⁺concentration?ranging from2.11 to 2.52 mmol/L?was 45.0%.3.The patients with CHF with lower level albumin concentration was 62.5%;the concentration of prealbumin,total protein,and red blood cells in most patients were within the normal reference range.4.The patients with CHF with lower level low density lipoprotein cholesterol?LDL-C?concentration was 61.0%;the patients with normal range of high density lipoprotein cholesterol?HDL-C?concentration?ranging from 0.90 to 1.68 mmol/L?was 63.5%.5.The classification of body mass index?BMI?in patients with CHF of different gender was statistically different?P<0.05?;the pre-albumin and hemoglobin concentrations of patients with CHF of different genders were statistically different?P<0.05?;the total cholesterol and LDL-C of patients with CHF of different genders were statistically different?P<0.05?.6.Patients with CHF had a nutritional risk of 43.0%;male patients accounted for40.8%,female patients accounted for 46.7%,this difference were not statistically significant?P>0.05?.A statistically significant difference was found in the incidence of nutritional risk among patients with different age segment,education level,and the economics?P<0.05?.There was no significant difference in the incidence of nutritional risk between patients with different cardiac function scores?P>0.05?.7.The incidence of nutritional risk of different Ca²⁺and Cl^-levels in patients with chronic heart failure was statistically different?P<0.05?.The incidence of nutritional risk of different prealbumin,hemoglobin and total protein levels in patients with chronic heart failure was statistically different?P<0.01?.Conclusion:This study assessed the nutritional risk of 200 patients with CHF in a third-class hospital in Changchun.The conclusions were as follows:1.The patients with CHF in this study were mainly concentrated in the age of 60years above;the ratio of male patients was higher than female patients.2.The total cholesterol and LDL-C levels were higher in female patients than male patients,while the levels of prealbumin and hemoglobin were lower in female patients than male patients.3.The proportion of the abnormal serum of Ca²⁺,albumin,and LDL-C in patients with CHF was high.4.In this study,43.0%of patients with CHF had nutritional risk.5.Compared with patients with non-nutritional risk of CHF,patients with nutritional risk had lower body weight and upper arm circumference.These two indicators can better predict nutritional risk.6.The incidence of nutritional risk significant vary among different prealbumin,hemoglobin and total protein levels in patients with CHF.