身体质量指数 (BMI) 与甲状腺手术相关的发病率
Fahad Rind1, Songzhu Zhao2, Catherine Haring1,2
1Comprehensive Cancer Center, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, Ohio, USA.
The Laryngoscope
|June 2, 2023
概括
在甲状腺手术患者中,较高的体重指数 (BMI) 与深静脉血栓和肺栓塞的风险增加有关. 虽然整体心肺复杂症很少见,但高BMI需要仔细考虑这些特定风险.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 心脏病学 心脏病学
背景情况:
- 甲状腺癌的发病率正在上升,与美国肥胖和体重指数 (BMI) 的增加相关.
- 甲状腺激素失调可能会影响心血管健康,这表明甲状腺手术可能存在心肺风险.
- 从理论上讲,甲状腺切除术可能会导致心肺复杂症.
研究的目的:
- 为了研究体质指数 (BMI) 与甲状腺切除术后心肺并发症之间的关联.
- 分析一大批甲状腺切除术患者,以确定与BMI相关的特定不良事件.
主要方法:
- 利用美国外科大学国家质量改进计划数据库对从2007年到2020年的甲状腺切除术病例进行分析.
- 进行了单变量和多变量回归分析,以评估BMI和术后心肺并发症之间的相关性.
- 检查的结果包括中风,心肌梗塞,深静脉血栓,肺栓塞和输管相关事件.
主要成果:
- 对186,095例甲状腺切除术病例的分析显示,BMI与术后中风或心肌梗塞之间没有相关性.
- 在增加的BMI和更高的深静脉血栓形成风险 (OR 1.036) 和肺栓塞 (OR 1.050) 之间发现了显著的相关性.
- 体重指数升高也与再输管 (OR 1.012) 和延长输管 (OR 1.031) 的风险增加有关.
结论:
- 虽然甲状腺手术后心肺并发症并不常见,但BMI高的患者面临深静脉血栓和肺栓塞的显著风险.
- 增加的BMI是特定不良事件的重要危险因素,如深静脉血栓,肺栓塞和甲状腺切除术后的长时间输管.
- 这些发现强调了在甲状腺切除术患者的风险分层中考虑BMI的重要性.
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