预后营养指数对预测门置换患者临床结果的影响
Rifat Özmen1, Funda İpekten2, Gülden Sarı1
1Department of Cardiovascular Surgery, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Brazilian journal of cardiovascular surgery
|March 18, 2025
概括
预后营养指数 (PNI) 可以预测心脏手术后的并发症和死亡率. 手术前后较低的PNI值与急性损伤和死亡有关.
科学领域:
- 心血管外科心血管外科
- 炎症反应综合征 炎症反应综合征
- 生物标志物 生物标志物
背景情况:
- 心肺旁路术后的系统性炎症反应会影响患者的预后.
- 血清白蛋白和淋巴细胞水平是基于炎症的风险评分的关键组成部分.
- 预后营养指数 (PNI) 是一种已建立的基于炎症的风险评分.
研究的目的:
- 研究术前和术后预后营养指数 (PNI) 变化对临床结果的影响.
- 评估心脏手术患者的PNI值和医院死亡率之间的相关性.
主要方法:
- 对164名接受大动脉置换 (AVR) 或心心置换 (MVR) 患者的回顾性分析.
- 评估手术前和后的PNI值,交叉紧时间,心肺绕道持续时间和停留时间.
- 评估结果,包括死亡率,心房动和急性损伤 (AKI).
主要成果:
- 在患有AKI的患者和未幸存者中观察到较低的手术前和第二次PNI值 (PNI截止值≤28.01).
- 在MVR组中,随着时间的推移,PNI的显著下降被注意到.
- 在手术前的PNI和重症监护室停留,交叉紧和心肺绕道术持续时间之间发现了负相关性.
结论:
- PNI值与术后AKI和死亡率的发展相关.
- 预后营养指数 (PNI) 是监测心脏手术患者的实用工具.
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