闭塞支持对结直肠癌切除术患者手术后并发症的影响
Masano Sagawa1, Hajime Yokomizo1, Sachiyo Okayama1
1Department of Surgery, Tokyo Women's Medical University Adachi Medical Center, Tokyo, Japan.
Journal of gastrointestinal oncology
|July 17, 2025
概括
通过艾希纳指数 (EI) 表示的手术前闭合支持减少,与胃肠癌手术后老年人更糟糕的结果和增加的感染并发症有关. 这突出了EI作为更好的患者管理的潜在预测指标.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 牙科医学 牙科医学
背景情况:
- 糟糕的口腔健康与增加住院时间和医院费用有关.
- 关于胃肠道癌症手术患者手术前牙状况和术后并发症的研究有限.
- 这项研究调查了在接受结直肠癌切除的老年患者中,闭塞支持,饮食和结果之间的关系.
研究的目的:
- 为了评估65岁以上接受结直肠癌手术的患者的闭塞支范围.
- 评估闭塞支持与住院患者的饮食习惯之间的关系.
- 为了确定是否减少闭塞支预测术后感染性并发症.
主要方法:
- 包括169名接受结直肠癌切除术的患者 (65岁以上).
- 术前闭合支持使用艾希纳指数 (EI) 进行评估.
- 基于EI的合作饮食选择,然后对术后结果和传染性并发症进行评估.
主要成果:
- 患有较低EI的患者 (C组) 在住院后食用了更多的.
- 在EI组之间没有观察到营养摄入量的显著差异.
- 多变量分析确定了EI (A/C,B/C),修改格拉斯哥预后得分 (2) 和失血作为术后传染性并发症的独立预测因素.
结论:
- 减少手术前的闭合支持与手术后的结果更差有关,尽管营养摄入量相似.
- 艾希纳指数 (EI) 显示了该患者群体中术后感染性并发症的潜在预测指标.
- 早期识别和管理减少的闭塞支可以改善外科手术的结果.
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