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术前控制营养状况评分,预测经过重大肝肝胆道手术后的术后并发症
Sujan Shrestha1,2,3, Romi Dahal2, Narendra Maharjan4
1Colorectal Surgery, Clinic NEO, Kathmandu, NPL.
Cureus
|July 1, 2024
概括
控制营养状况 (CONUT) 评分没有预测大肝胆瘤手术后的短期并发症. 这项研究发现,高CONUT得分与HPB手术患者的术后发病率增加之间没有关联.
科学领域:
- 肝胆 (HPB) 手术 肝胆 (HPB) 手术
- 外科手术的结果
- 营养评估 营养评估
背景情况:
- 在肝胰腺胆道手术中控制营养状况 (CONUT) 评分的预后价值已确定,但其对短期术后结果的影响仍在争论中.
- 了解早期并发症的预测因素对于优化主要HPB手术中的患者护理至关重要.
研究的目的:
- 评估手术前的CONUT得分与手术后早期结果之间的关联,在接受重大HPB手术的患者中.
- 为了确定CONUT得分是否可以预测HPB手术后的并发症.
主要方法:
- 一项前性研究,涉及57名接受重大HPB手术的患者.
- 患者使用CONUT评分进行评估,将其分类为营养不良组.
- 术后并发症使用克拉维恩 - 丁多分类来记录.
主要成果:
- 在77%的患者中观察到高CONUT得分 (32).
- 总体并发症发生在64.9%的患者中,主要并发症发生在24.6%的患者中.
- 单变量分析表明手术时间和血液损失与并发症相关,但CONUT得分没有预测整体或重大术后并发症.
结论:
- 在手术前的CONUT评分没有证明在接受重大HPB手术的患者中,术后发病率的预测价值.
- 可能需要进一步的研究来确定可靠的预测者在这个患者群体的短期结果.
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