在老年患者胸前大动脉置换1年后,影响psoas肌肉面积减少的因素
Naoya Araki1, Kosuke Nakata1, Takafumi Hirota1
1Department of Cardiovascular Surgery, Kumamoto University Hospital, Kumamoto, Japan.
Annals of vascular surgery
|July 11, 2025
概括
男性的性别,手术前的BMI和6分钟步行距离的不良恢复预测老年人胸前大动脉置换后的psoas肌肉面积减少.
科学领域:
- 老年医学 老年医学
- 心血管外科心血管外科
- 肌肉骨成像系统的成像
背景情况:
- 在胸前大动脉置换后调查心肌区域 (PMA) 变化对于了解患者康复至关重要.
- 肉症和肌肉损失可能会影响老年患者手术后的功能结果.
研究的目的:
- 为了确定从手术前到手术后1年的PMA变化率,65岁以上的患者接受了选择性胸前大动脉置换.
- 为了确定与PMA降低相关的因素,在胸前大动脉置换后1年.
主要方法:
- 对73名患者 (平均年龄75岁) 进行了回顾性分析,这些患者接受了选择性胸前大动脉置换.
- 在手术前和手术后1年测量了psoas肌肉区域 (PMA).
- 单变量和多变量逻辑回归分析确定了PMA下降的预测因素.
主要成果:
- 男性性别,更高的手术前体重指数 (BMI) 和未能恢复6分钟步行距离 (6 MWD) 到手术前水平与PMA降低有关.
- 多变量分析证实男性性别 (OR=5.019),手术前的BMI (OR=1.190) 和受损的6MWD恢复 (OR=9.617) 作为PMA下降的独立预测因素.
结论:
- 男性性别,手术前的BMI和未能恢复手术前6分钟的步行距离是影响胸前大动脉置换1年后psoas肌肉区域下降的重要因素.
- 这些发现突出了减轻肌肉损失和改善该患者群体功能恢复的干预措施的潜在目标.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
26
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
26
Aneurysm IV: Nursing Management
22
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
22
Peripheral Artery Disease I: Introduction
35
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
35
Aneurysm II: Clinical Manifestations and Diagnostic Studies
25
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
25
Peripheral Artery Disease III: Interprofessional Care
30
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
30
The Effect of Aging on Tissues
2.5K
Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
2.5K


