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[外科肿瘤患者营养状况降低——术后并发症的一个危险因素?]

[Reduced nutritional status of the surgical tumor patient--a risk factor for postoperative complications?].

作者信息

Merkle N M, Schmitz J E, Grünert A, Herfarth C

出版信息

Langenbecks Arch Chir. 1985;365(2):127-34. doi: 10.1007/BF01261139.

Abstract

In recent years nutritional status gained greater attention as a surgical risk factor. In 100 patients with solid and operable tumours nutritional assessment with different types of measurements (dietary habits, ideal weight/height, triceps skinfold, arm muscle circumference, creatinine-height index, serum protein, albumin, prealbumin, cholinesterase, transferrin, total peripheral lymphocytes, and skin tests) was performed. Individual abnormal nutritional measurements were compared with the incidence of complications postoperatively, which were found in 32 out of 95 patients. These complications appeared more often in correlation with the decline of nutritional status. However, we could not prove a statistically significant correlation between the examined parameters themselves and the incidence or lack, respectively, of postoperative complications. Possible reasons are discussed.

摘要

近年来,营养状况作为一种手术风险因素受到了更多关注。对100例患有实体可手术肿瘤的患者进行了不同类型测量的营养评估(饮食习惯、理想体重/身高、三头肌皮褶厚度、上臂肌肉周长、肌酐-身高指数、血清蛋白、白蛋白、前白蛋白、胆碱酯酶、转铁蛋白、外周血淋巴细胞总数和皮肤试验)。将个体营养测量异常情况与术后并发症发生率进行比较,95例患者中有32例出现了术后并发症。这些并发症更常与营养状况下降相关。然而,我们未能证明所检查的参数本身与术后并发症的发生率或有无之间存在统计学上的显著相关性。文中讨论了可能的原因。

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