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格拉斯哥预后评分是预测溃疡性结肠炎患者全直肠结肠切除术后感染性并发症的预测指标。

Glasgow prognostic score is a predictive index for postoperative infectious complications after total proctocolectomy in ulcerative colitis patients.

机构信息

General Surgery, Sir Run Run Shaw Hospital. School of Medicine. Zhejiang University, China.

General Surgery, Sir Run Run Shaw Hospital. School of Medicine. Zhejiang University.

出版信息

Rev Esp Enferm Dig. 2021 Jun;113(6):418-422. doi: 10.17235/reed.2020.7047/2020.

DOI:10.17235/reed.2020.7047/2020
PMID:33233904
Abstract

BACKGROUND AND AIM

Glasgow prognostic score is a systemic inflammatory-based score. The aim of this study was to determine whether the Glasgow prognostic score was a useful predictor of short-term outcomes in patients who undergo total proctocolectomy for ulcerative colitis.

METHODS

eighty ulcerative colitis patients who underwent a total proctocolectomy with ileal pouch-anal anastomosis or permanent end ileostomy from June 2014 to March 2020 were retrospectively analyzed. Patients were divided into a lower Glasgow prognostic score group and a higher Glasgow prognostic score group.

RESULTS

postoperative infectious complication occurred more frequently in the higher Glasgow prognostic score group (8.3 % vs 29.5 %, p = 0.018). According to the univariate and multivariate analysis, only a higher Glasgow prognostic score was associated with an increased risk of postoperative infectious complication (OR: 5.478, 95 % CI: 1.236-24.279).

CONCLUSION

Glasgow prognostic score is a simple and useful indicator of postoperative infectious complications.

摘要

背景与目的

格拉斯哥预后评分是一种基于全身炎症的评分。本研究旨在确定格拉斯哥预后评分是否可用于预测溃疡性结肠炎患者行全结肠直肠切除+回肠储袋肛管吻合术或永久性末端回肠造口术后的短期结局。

方法

回顾性分析 2014 年 6 月至 2020 年 3 月期间行全结肠直肠切除+回肠储袋肛管吻合术或永久性末端回肠造口术的 80 例溃疡性结肠炎患者。患者分为低格拉斯哥预后评分组和高格拉斯哥预后评分组。

结果

高格拉斯哥预后评分组术后感染性并发症的发生率更高(8.3% vs. 29.5%,p = 0.018)。单因素和多因素分析均表明,只有高格拉斯哥预后评分与术后感染性并发症的风险增加相关(OR:5.478,95%CI:1.236-24.279)。

结论

格拉斯哥预后评分是预测术后感染性并发症的一种简单而有用的指标。

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