选择性肌肉骨手术与儿科和青少年患者的术后体重变化有关
Sharon G Huang1, Philip L Wilson1,2,3, Hannah M Worrall2
1University of Texas Southwestern Medical Center, Dallas, TX, USA.
Journal of children's orthopaedics
|October 6, 2023
概括
儿科整形外科手术患者经常经历手术后增加的体重指数百分点. 虽然体重不足患者的情况有所改善,但大多数人看到的增长超出了正常增长的预期.
科学领域:
- 儿科整形外科 儿科整形外科
- 身体组成分析 身体成分分析
- 术后恢复 术后恢复
背景情况:
- 选择性骨科手术后活动减少可能会影响体重.
- 在这个人群中,人体质量指数 (BMI) 百分位数的变化并未得到很好的理解.
- 了解手术后的BMI变化对于长期的儿科健康至关重要.
研究的目的:
- 为了评估儿童患者的BMI百分位数的变化.
- 在初级肌肉骨手术后2.5年评估BMI趋势.
- 确定影响术后体重变化的因素.
主要方法:
- 对1566名接受选择性骨科手术的儿科患者 (≤21岁) 的回顾性分析.
- 在手术前和后30个月内收集人口统计数据,身高,体重和BMI.
- 计算的BMI百分位数和分析的变化在3 - 7,9 - 18和24 - 30个月间隔.
主要成果:
- 手术后9-18个月和24-30个月,平均BMI百分位数显著增加 (p<0.01).
- 超过三分之一的患者在手术前超重或肥胖.
- 体重不足/体重正常的患者显示BMI增加,而超重/肥胖的患者显示下降.
结论:
- 选择性整形外科手术可以导致儿科患者的术后显著的BMI百分位数变化.
- 大多数患者体验到BMI增加超过正常生长预期.
- 体重极端可能会显示向平均值的趋势,但整体BMI增加是令人担忧的.
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