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在接受紧急腹部手术的老年患者中,总psoas肌肉指数对术后身体功能下降的预测值
Keishi Yamaguchi1, Shokei Matsumoto2, Takeru Abe1
1Department of Emergency Medicine, Yokohama City University Graduate School of Medicine, 4-57 Urafunecho, Minami-Ku, Yokohama-Shi, Kanagawa, 232-0024, Japan.
BMC surgery
|June 24, 2023
概括
在CT扫描上测量低的psoas肌肉体积 (TPI) 预测了老年人紧急腹部手术后的功能衰退. 这一发现有助于识别有风险的患者,以获得更好的外科护理.
科学领域:
- 老年人手术是一门老年人手术.
- 放射学 放射学是一门学科.
- 外科手术的结果
背景情况:
- 接受紧急腹部手术的老年人面临功能衰退的风险.
- 肌体积是手术压力和恢复的潜在指标.
研究的目的:
- 调查老年患者的psoas肌肉体积和术后功能衰退 (FD) 之间的关联.
- 评估计算机断层扫描 (CT) 扫描用于测量psoas肌肉体积的实用性.
主要方法:
- 对65岁以上接受紧急腹部手术的患者进行了回顾性研究.
- 使用巴特尔指数评估的功能衰退;定义为≥5个点的衰退.
- 按高度规范的psoas肌体积,以从CT扫描中计算总psoas肌指数 (TPI).
主要成果:
- 29.8%的患者经历了术后功能衰退.
- 患有FD的患者年龄较大,并具有较高的并发症评分和较低的TPI.
- 低TPI是术后FD的一个独立预测因素 (OR 0.14;95% CI,0.06-0.32).
结论:
- 总psoas肌肉指数 (TPI) 有效地预测了老年人的术后功能下降.
- 术前识别高风险患者可以改善紧急整形外科护理途径.
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