在前椎外科手术后缺食症的预测因素:一项前性多中心研究
Yu Chen1, Jingzhen Zhu2, Fengzhao Zhu3
1Army Medical University, Chongqing, China.
World neurosurgery
|July 29, 2023
概括
在前椎脊椎手术 (ACSS) 后,术后食不全是常见的,脊椎体参与C4及以上的风险增加. 在手术期间的神经生理学监测似乎是防治缺食症的保护因素.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 退行性脊柱疾病 退行性脊柱疾病
背景情况:
- 手术后的消化不良是前椎手术 (ACSS) 后的常见并发症.
- 鉴定缺食症的预测因子对于患者管理和手术规划至关重要.
研究的目的:
- 为了确定ACSS后手术后失足症的发病率和危险因素.
- 使用饮食评估工具 (EAT-10) 进行饮食失调的评估.
主要方法:
- 一项前性多中心研究,涉及343名接受ACSS的患者.
- 术后7天和6个月使用EAT-10问卷进行了评估.
- 分析包括对潜在预测因素的单变量和多变量评估.
主要成果:
- 14.6%的患者在手术后6个月报告了食障碍.
- 单变量分析确定了更长的手术时间,吸烟,C4及以上的脊椎体参与,以及手术内神经生理监测作为潜在的因素.
- 多变量分析证实C4及以上的脊椎体参与 (OR 3.883) 是一个危险因素,而手术内神经生理监测 (OR 0.273) 是一个保护因素.
结论:
- 在ACSS之后,缺食症是一个重大问题,在7天内发生率超过67.5%,随着时间的推移而下降.
- 在C4及以上的脊椎体的参与是发展食障碍的关键风险因素.
- 在手术期间的神经生理学监测表明,它对术后食障碍有保护作用.
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