院内营养管理方案联合精细化容量管理应用于慢性心力衰竭急性加重患者的效果OA
Effect of In-hospital Nutrition Management Scheme Combined with Refined Volume Management in Patients with Acute Exacerbation of Chronic Heart Failure
目的:观察慢性心力衰竭(CHF)急性加重患者应用院内营养管理方案联合精细化容量管理的效果.方法:选取北京航天总医院 2023 年 7 月—2025 年 1 月收治的 90 例 CHF急性加重患者作为研究对象,采用随机数字表法分组.对照组(n=45)予以常规干预,观察组(n=45)在对照组的基础上予以院内营养管理方案联合精细化容量管理,两组均干预 3 个月.比较两组营养情况、自护能力、心功能及生活质量.结果:干预后,两组总蛋白(TP)水平均较干预前升高,观察组白蛋白(ALB)水平高于干预前,观察组 ALB、TP 水平高于对照组(P<0.05).干预后,两组自我护理能力量表(ESCA)各维度评分均较干预前升高,观察组高于对照组(P<0.05).干预后,两组 N 末端脑钠肽前体(NT-proBNP)水平均较干预前下降,观察组低于对照组(P<0.05).干预后,两组 SF-36 中精神健康、情感职能、生理功能及社会功能评分均较干预前升高,观察组高于对照组(P<0.05).结论:CHF 急性加重患者应用院内营养管理方案联合精细化容量管理能有效改善营养情况及心功能,促进自护能力,提高生活质量水平.
Objective:To observe the effect of in-hospital nutrition management scheme combined with refined volume management in patients with acute exacerbation of chronic heart failure(CHF).Method:A total of 90 patients with acute exacerbation of CHF who were admitted to Beijing Aerospace General Hospital from July 2023 to January 2025 were selected as the research subjects.They were grouped using the random number table method.The control group(n=45)received routine intervention,and the observation group(n=45)was given the in-hospital nutrition management scheme combined with refined volume management on the basis of the control group.Both groups were intervened for 3 months.The nutritional status,self-care ability,cardiac function and quality of life of the two groups were compared.Result:After the intervention,the total protein(TP)levels of the two groups were higher than those before the intervention,and the albumin(ALB)levels of the observation group was higher than that before the intervention,ALB and TP levels of the observation group were higher than those of the control group(P<0.05).After the intervention,the scores of each dimension of exercise of self-care agency scale(ESCA)in both groups increased compared to before the intervention,and the observation group had higher scores than the control group(P<0.05).After the intervention,the levels of N-terminal pro-brain natriuretic peptide(NT-proBNP)in both groups decreased compared to before the intervention,and the observation group had lower levels than the control group(P<0.05).After the intervention,the scores of mental health,emotional function,physiological function and social function in SF-36 in both groups increased compared to before the intervention,and the observation group had higher scores than the control group(P<0.05).Conclusion:The application of in-hospital nutrition management scheme combined with refined volume management in patients with acute exacerbation of CHF can effectively improve the nutritional status and cardiac function,promote self-care ability,and improve the quality of life.
王婷
北京航天总医院心内科 北京 100076
医药卫生
慢性心力衰竭急性加重院内营养管理方案精细化容量管理营养情况自护能力
Acute exacerbation of chronic heart failureIn-hospital nutrition management schemeRefined volume managementNutritional statusSelf-care ability
《中国医学创新》 2026 (13)
136-140,5
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