身体质量指数是否会影响接受轻微侵入性 mitra 门手术的患者的结果?
Mariafrancesca Fiorentino1, Elisa Mikus1, Diego Sangiorgi1
1Division of Cardiac Surgery, Cardio-Vascular Surgery Department, Maria Cecilia Hospital, GVM Care & Research, 48033 Cotignola, Italy.
Medicina (Kaunas, Lithuania)
|May 28, 2025
概括
肥胖并不会增加对最小侵入性心肌门手术患者的风险. 与传统方法相比,这种方法可以减少肥胖个体的伤口并发症.
科学领域:
- 心血管外科心血管外科
- 最少侵入性的手术
- 肥胖医学 肥胖医学
背景情况:
- 在肥胖患者中,通过右侧小心胸切除术进行最小侵入性 mitrale valve 手术可能会减少伤口并发症.
- 肥胖与伴随疾病的增加有关,可能会影响手术的结果.
研究的目的:
- 为了评估身体质量指数 (BMI) 对最小侵入性心肌门手术后的结果的影响.
- 为了比较正常体重,超重和肥胖患者群体的手术结果.
主要方法:
- 对1773名接受微创性心肌门手术的成年患者的回顾性分析 (2010年1月 - 2024年12月).
- 根据BMI分类的患者:正常 (<25),超重 (25-30),肥胖 (>30).
- 治疗权重的反向概率 (IPTW) 用于调整基线差异并创建匹配的组.
主要成果:
- 肥胖和超重的患者有更高的高血压,血脂不良,糖尿病,心房动,中风,慢性肺炎和肌水平升高的几率.
- 未经调整的分析显示,超重/肥胖群体的排水量和ICU停留率更高.
- 在IPTW后,住院死亡率和主要并发症相似,但肥胖患者患有更多的术后心房动和心脏起器植入.
结论:
- 肥胖不与增加的死亡率或严重的不良事件随着微创性 mitra 门手术后.
- 对肥胖患者来说,右侧小胸切除术可能是一个有利的方法,可能降低伤口并发症风险.
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