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1
Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients.内收拇肌厚度在手术患者营养评估中的应用
Einstein (Sao Paulo). 2016 Jan-Mar;14(1):18-24. doi: 10.1590/S1679-45082016AO3596.
2
Association of the Adductor Pollicis Muscle Thickness With Clinical Outcomes in Intensive Care Unit Patients.重症监护病房患者内收拇指肌厚度与临床结局的相关性
Nutr Clin Pract. 2016 Aug;31(4):523-6. doi: 10.1177/0884533615621547. Epub 2016 Feb 11.
3
Relationship between adductor pollicis muscle thickness and subjective global assessment in a cardiac intensive care unit.心脏重症监护病房内拇收肌厚度与主观全面评定之间的关系
Rev Bras Ter Intensiva. 2015 Oct-Dec;27(4):369-75. doi: 10.5935/0103-507X.20150062.
4
[Adductor pollicis muscle and hand grip strength: potential methods of nutritional assessment in outpatients with stroke].[拇收肌与手握力：中风门诊患者营养评估的潜在方法]
Einstein (Sao Paulo). 2010 Dec;8(4):467-72. doi: 10.1590/S1679-45082010AO1763.
5
The adductor pollicis muscle: a poor predictor of clinical outcome in ICU patients.拇收肌：ICU患者临床结局的不良预测指标。
Asia Pac J Clin Nutr. 2015;24(4):605-9. doi: 10.6133/apjcn.2015.24.4.22.
6
Is adductor pollicis muscle thickness a good predictor of lean mass in adults?拇收肌厚度能否很好地预测成年人的瘦体重？
Clin Nutr. 2016 Oct;35(5):1073-7. doi: 10.1016/j.clnu.2015.07.022. Epub 2015 Aug 7.
7
Global cancer statistics, 2012.全球癌症统计数据，2012 年。
CA Cancer J Clin. 2015 Mar;65(2):87-108. doi: 10.3322/caac.21262. Epub 2015 Feb 4.
8
Nutritional and metabolic status of breast cancer women.乳腺癌女性的营养与代谢状况
Nutr Hosp. 2014 Sep 28;31(2):751-8. doi: 10.3305/nh.2015.31.2.8056.
9
Adductor pollicis muscle: A study about its use as a nutritional parameter in surgical patients.拇内收肌：一项关于其在外科手术患者中作为营养参数的应用研究。
Clin Nutr. 2015 Oct;34(5):1025-9. doi: 10.1016/j.clnu.2014.11.006. Epub 2014 Nov 13.
10
Adductor pollicis muscle as predictor of malnutrition in surgical patients.拇收肌作为外科手术患者营养不良的预测指标。
Arq Bras Cir Dig. 2014 Jan-Mar;27(1):13-7. doi: 10.1590/s0102-67202014000100004.

拇收肌厚度与胃癌患者术后死亡率的预测

ADDUCTOR POLLICIS MUSCLE THICKNESS AND PREDICTION OF POSTOPERATIVE MORTALITY IN PATIENTS WITH STOMACH CANCER.

作者信息

Poziomyck Aline Kirjner, Corleta Oly Campos, Cavazzola Leandro Totti, Weston Antonio Carlos, Lameu Edson Braga, Coelho Luisa Jussara, Moreira Luis Fernando

机构信息

Program of Post-Graduation in Surgical Sciences. Federal University of Rio Grande do Sul - UFRGS. Porto Alegre. RS.

Department of Digestive Surgery. Lutheran University of Brazil - ULBRA. Canoas. RS.

出版信息

Arq Bras Cir Dig. 2018 Mar 1;31(1):e1340. doi: 10.1590/0102-672020180001e1340.

DOI:10.1590/0102-672020180001e1340
PMID:29513801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5863992/
Abstract

BACKGROUND

Malnutrition is very prevalent in patients with gastric cancer and increases the risk of morbidity and mortality. Adductor pollicis muscle thickness (APMT) appears as an important objective, quick, inexpensive and noninvasive measure to assess the muscle compartment.

AIM

To compare APMT and other nutritional assessment methods and to correlate these methods with postoperative mortality.

METHODS

Forty-four patients, 29 men and 15 women, mean age of 63±10.2 and ranging from 34-83 years, who underwent nine (20.5%) partial and 34 (77.3%) total gastrectomies due to stomach cancer (stage II to IIIa) were preoperatively assessed by Patient Generated Subjective Global Assessment (PG-SGA), anthropometry and laboratorial profile.

RESULTS

APMT better predicted death (p<0.001) on both, dominant and non-dominant hand, and well correlated with albumin (p=0.039) and PG-SGA (p=0.007).

CONCLUSION

APMT clearly allowed to determine malnutrition and to predict risk of death in patients with gastric cancer.

摘要

背景

营养不良在胃癌患者中非常普遍，会增加发病和死亡风险。拇收肌厚度（APMT）似乎是评估肌肉群的一项重要、快速、廉价且无创的指标。

目的

比较APMT与其他营养评估方法，并将这些方法与术后死亡率相关联。

方法

44例患者，男性29例，女性15例，平均年龄63±10.2岁，年龄范围34 - 83岁，因胃癌（II期至IIIa期）接受了9例（20.5%）部分胃切除术和34例（77.3%）全胃切除术，术前通过患者主观整体评定法（PG - SGA）、人体测量学和实验室检查进行评估。

结果

APMT在优势手和非优势手都能更好地预测死亡（p<0.001），且与白蛋白（p = 0.039）和PG - SGA（p = 0.007）相关性良好。

结论

APMT能够明确判定胃癌患者的营养不良情况并预测死亡风险。