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患有异常性秋拉症患者的营养参数的综合分析:印度的一项前性研究
Zaheer Nabi1, Jahangeer Basha2, Pradev Inavolu2
1Asian Institute of Gastroenterology, 6-3-661, Hyderabad, 500 082, India. zaheernabi1978@gmail.com.
概括
患有 (食道运动障碍) 的患者面临的营养不良风险比患有功能性胃肠道障碍的患者更高. 通过口腔内镜肌切除术 (POEM) 显著改善了阿喀拉西亚患者的营养状况.
科学领域:
- 胃肠病学 胃肠病学
- 营养科学 营养科学
- 手术创新 在外科创新.
背景情况:
- 心脏阿哈拉西亚是一种主要的食道运动障碍,与严重的营养不良有关.
- 了解未经治疗的阿喀拉西亚患者的营养状况对于有效管理至关重要.
研究的目的:
- 评估未经治疗的阿喀拉西亚患者的营养状况.
- 为了比较阿喀拉西亚患者和功能性胃肠道疾病 (FGIDs) 患者之间的营养状况.
- 为了评估口腔内镜肌切除术 (POEM) 对手术后一年营养状况的影响.
主要方法:
- 一项前性研究包括118名阿喀拉西亚患者和200名FGID对照.
- 营养评估涉及生物化学参数,人体测量,主观全球评估 (SGA) 和营养不良普遍查工具.
- 数据是从2021年12月到2022年4月在第三级护理中心收集的.
主要成果:
- 与对照人群相比,阿哈拉西亚患者的前白蛋白,血清,维生素D,血清铁,三脚的折叠厚度和手握强度显著降低.
- 在44.9%的阿喀拉西亚患者中观察到营养不良 (中度至严重).
- 亚喀拉西亚的类型,中臂周长和低体重指数是营养不良的重要预测因素.
结论:
- 与FGID患者相比,阿喀拉西亚患者营养不良的风险要高得多.
- 通过口腔内镜肌切除术 (POEM) 可以显著改善阿喀拉西亚患者的营养状况.
- 早期的营养干预和POEM的考虑对于治疗阿喀拉西亚至关重要.
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