在晚年患者的紧急腹部手术后,手术后消化不良的预测得分的发展
Tomohiro Iguchi1, Junya Mita2, Norifumi Iseda1
1Department of Surgery Saiseikai Fukuoka General Hospital Fukuoka Japan.
Annals of gastroenterological surgery
|January 22, 2024
概括
在紧急腹部手术 (EAS) 后,识别患有术后消化不良风险较高的老年患者至关重要. 吞查工具 (SSTs) 可以帮助管理食障碍并改善这些脆弱患者的结果.
科学领域:
- 老年人手术是一门老年人手术.
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
背景情况:
- 手术后的消化不良是经过紧急腹部手术 (EAS) 的老年患者的一个重大并发症.
- 需要有效的消化不良症管理策略来改善患者的治疗结果.
研究的目的:
- 在老年人中确定EAS之后的消化障碍的预测因素.
- 评估吞查工具 (SST) 在治疗手术后消化不良时的有用性.
主要方法:
- 对267名接受EAS治疗的老年患者进行了回顾性分析.
- 经由食物摄入水平尺度 (FILS) 定义的消化障碍在术后的第10天<7.
- 从2018年开始实施和评估由护士领导的SSTs.
主要成果:
- 手术后失足症的发生率为22.8%.
- 预测因素包括晚年,营养不良,脑血管疾病,痴呆症和高肌内脂肪组织含量 (IMAC).
- 结合IMAC,呼吸机管理,脑血管疾病和痴呆症的新型预测得分显示出有效性;SSTs降低了缺食症的发生率.
结论:
- 一个新的预测得分可以识别高风险的老年患者的EAS后食障碍.
- 吞查工具 (SSTs) 在改善风险患者的短期结果方面表现有前途.
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