身体组成的参数预测了急性结肠椎炎的临床过程
Alexey Surov1, Mattes Hinnerichs2, Iram Shahzadi1
1Institute of Radiology, Neuroradiology and Nuclear Medicine, Johannes-Wesling-Klinikum Minden, Ruhr-University Bochum, Bochum, Germany.
身体组成会影响急性结肠分泌体炎 (ACD) 的结果. 肉骨,骨髓瘤和内脏肥胖与更长的住院时间有关,而肉骨瘤预测宏观,而骨髓瘤/内脏肥胖预测穿孔.
科学领域:
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
- 放射学 放射学是一门学科.
背景情况:
- 急性结肠分泌体炎 (ACD) 是分泌体炎的常见并发症.
- 身体组成,包括肌肉和脂肪组织,可能会影响ACD.
- 之前对ACD体质组成的研究受限于小样本大小.
研究的目的:
- 在一大群患者中调查身体组成参数与ACD并发症之间的关联.
- 根据身体组成,确定ACD严重程度的预后因素.
主要方法:
- 对646名被诊断患有ACD的患者进行了回顾性分析.
- 半自动测量骨肌面积 (SMA),骨肌密度,内脏脂肪组织 (VAT) 和肌内脂肪组织,使用ImageJ软件.
- 考克斯回归分析 (根据年龄和性别进行调整),以评估身体组成对并发症和住院时间的影响.
主要成果:
- 麻症 (低SMA) 在49.8%的患者中存在.
- 高增值税 (81.3%) 和骨髓炎 (低骨肌密度,49.8%) 是常见的.
- 萨科佩尼亚独立预测复杂的ACD (OR=1.48).
- 骨髓炎 (OR=2.36) 和内脏脂肪 (OR=7.62) 与自由穿孔有关.
- 萨科佩尼亚预测了宏观 (OR=2.41).
结论:
- 麻症,骨髓炎和内脏肥胖症与ACD患者的长时间住院有关.
- 萨科佩尼亚是宏观形成的重要预测因素.
- 骨髓炎和高内脏脂肪组织与自由穿孔的风险增加有关.
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