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营养状况和心脏手术后的结果:一篇更新的评论,强调认知功能

Norsham Juliana¹, Nur Adilah Shuhada Abd Aziz², Sofwatul Mokhtarah Maluin¹

¹Faculty of Medicine and Health Science, Universiti Sains Islam Malaysia, Nilai 71800, Negeri Sembilan, Malaysia.

Journal of clinical medicine

|July 27, 2024

概括

营养不良影响近一半的心脏手术患者,增加了术后认知功能障碍 (POCD) 的风险. 手术前的营养支持可以改善结果并减少并发症.

科学领域:

心脏病学心脏病学
营养科学营养科学
神经科学是一个神经科学.

背景情况:

心脏手术患者中普遍存在营养不良,影响手术结果.
了解术前营养与术后认知功能障碍 (POCD) 之间的联系至关重要.

研究的目的:

探索成人心脏手术患者手术前营养状况和POCD之间的关系.
调查营养不良的流行及其与POCD和其他并发症的关联.

主要方法:

对数据库的系统文献审查.
分析营养不良患病率,导致因素,以及与POCD的关联.
检查POCD发病率,特别是在CABG后,以及营养不良对炎症和器官功能的影响.

主要成果:

46.4%的患者出现了手术前营养不良,与慢性疾病和功能减弱有关.
营养不良显著增加了炎症和并发症,包括POCD (发病率15-50%).
冠状动脉旁路移植 (CABG) 程序显示与POCD有很强的关联.

结论:

手术前营养不良是POCD和其他心脏手术并发症的重要危险因素.
加强手术前营养是缓解炎症和改善认知功能的潜在策略.
将营养查纳入临床实践对于优化高风险心脏手术患者的治疗结果至关重要.

关键词:

心脏外科手术的心脏手术这是一种炎症炎症炎症炎症.营养不良营养不良营养不良手术后的认知功能障碍 (POCD)术前营养术前营养

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