CONUT评分联合PNI指数对急性心肌梗死PCI术后患者营养不良的预测价值
Predictive value of CONUT score combined with PNI index for malnutrition in patients with acute myo-cardial infarction after PCI
李婉 1孟维慧 1谢芳2
作者信息
- 1. 中国人民武装警察部队特色医学中心心血管内科,天津市 300074
- 2. 中国人民武装警察部队特色医学中心儿科,天津市 300074
- 折叠
摘要
目的:探究控制营养状况(CONUT)评分联合预后营养指数(PNI)对急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)术后营养不良的预测价值.方法:选择2019年7月～2023年7月期间在中国人民武装警察部队特色医学中心行PCI治疗的正常、轻中度营养不良、重度营养不良AMI患者中随机抽取50例分别纳入正常组、轻中度营养不良组、重度营养不良组.对比各组术前、手术1周后的PNI指数、CONUT评分,绘制ROC曲线分析手术1周后PNI指数、CONUT评分单独和联合诊断营养不良的价值.结果:术后1周,与正常组比较,轻中度营养不良组和重度营养不良组的PNI指数[(40.86±1.01)分比(36.26±1.21)分比(32.14±1.32)分]均显著降低,CONUT评分[(0.53±0.03)分比(4.51±1.03)分比(9.56±1.01)分]均显著升高,且与轻中度营养不良组比较,重度营养不良组PNI指数降低更显著,CONUT评分升高更显著(P均＜0.001).PNI指数、CONUT评分联合诊断AMI患者PCI术后营养不良的AUC值显著高于二者单独诊断(0.897比0.737比0.797,P＜0.05或＜0.01).结论:CONUT评分联合PNI指数对AMI患者PCI术后出现营养不良有较好的诊断价值,二者联合可为后续患者临床营养治疗方案调整与预后评估提供数据支持.
Abstract
Objective:To explore the predictive value of Controlling Nutritional status(CONUT)score combined with Prognostic Nutritional Index(PNI)for malnutrition after percutaneous coronary intervention(PCI)in patients with acute myocardial infarction(AMI).Methods:A total of 50 AMI patients with normal nutrition,mild to moderate malnutrition and severe malnutrition who underwent PCI in Chinese People's Armed Police Force Specialty Medical Center between July 2019 and July 2023 were randomly selected and included in the normal group,mild to moderate malnutrition group and se-vere malnutrition group.PNI index and CONUT score were compared among all groups before and one week after PCI.ROC curve was drawn to analyze diagnostic value of PNI index,CONUT score alone and their combination for malnutrition one week after PCI in these patients.Results:Compared with the normal group on one week after PCI,mild to moderate malnutrition group and severe malnutrition group had significant lower PNI index[(40.86±1.01)points vs.(36.26±1.21)points vs.(32.14±1.32)points],and significant higher CONUT score[(0.53±0.03)points vs.(4.51±1.03)points vs.(9.56±1.01)points],and compared with mild to moderate malnutrition group,severe malnutrition group had significant lower PCI index and significant higher CONUT score(P＜0.001 all).AUC of PNI index combined CONUT score diagnosing malnutrition after PCI in AMI patients was significantly higher than the single diagnosis(0.897 vs.0.737 vs.0.797,P＜0.05 or＜0.01).Conclusion:CONUT score combined PNI index possess good diagnostic value for malnu-trition after PCI in AMI patients.The combination can provide data support for following clinical nutritional therapeutic program adjustment and prognosis evaluation.
关键词
心肌梗死/血管成形术,气囊,冠状动脉/营养不良Key words
Myocardial infarction/Angioplasty,balloon,coronary/Malnutrition引用本文复制引用
出版年
2024
NETL
NSTL
万方数据