入院预后营养指数预测在严重的牙病原性深感染中,长时间住院
Eiji Iwata1,2,3, Kyoichi Obata4, Shogo Kikuta5
1Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kitaku, Okayama, 700-8525, Japan. eiwata@okayama-u.ac.jp.
Odontology
|July 4, 2025
概括
入院时的预后营养指数 (PNI) 可以帮助外科医生预测严重的深部感染的长时间住院情况. 较低的PNI得分表明这些患者在医院住院时间延长的风险更高.
科学领域:
- 口腔和牙面部外科手术
- 传染性疾病 传染性疾病
- 营养科学 营养科学
背景情况:
- 严重的牙源性深部感染 (DNI) 具有严重的危及生命的风险.
- 早期识别需要长时间住院的患者对于资源管理和患者护理至关重要.
研究的目的:
- 调查严重DNI患者的营养状况.
- 评估预后营养指数 (PNI) 作为这些患者长期住院的预测指标.
主要方法:
- 分析了一组112名患有牙性DNI的患者.
- 倾向性得分匹配和斯皮尔曼等级相关性被用来评估与住院时间和PNI预测值相关的因素.
主要成果:
- 50名患者 (44.6%) 需要住院超过14天.
- 一个PNI≤41.2和多个深部腹是长时间住院的显著预测因素 (OR=2.79和OR=2.76,分别).
- 在PNI和住院时间之间发现了中度的负相关性 (r=-0.471,P<0.001).
结论:
- 入院预后营养指数 (PNI) 是一个有价值的辅助工具,用于预测患有严重牙性DNI的患者长期住院的情况.
- PNI有效地反映了营养状况和全身炎症,有助于早期风险分层.
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