高龄患者的营养状况和虚弱度,这些患者因上部胃肠道瘤接受了重大腹部手术:单中心前性观察性研究
Buse Bakir1, Habibe Şahin2, Gülşah Kaner3
1Faculty of Health Sciences, Department of Nutrition and Dietetics, İzmir Katip Çelebi University, İzmir, Türkiye. buse.bkr.92@gmail.com.
Irish journal of medical science
|August 13, 2025
概括
老年手术患者的虚弱与营养不良和更糟糕的结果有关. 在手术前和后评估虚弱和营养状况对于改善患者康复至关重要.
科学领域:
- 老年人手术是一门老年手术.
- 营养科学 营养科学
- 临床结果研究研究
背景情况:
- 营养不良和虚弱是老年手术患者普遍存在的问题,导致不良的术后结果.
- 这些情况极大地影响了康复,并增加了医疗负担.
研究的目的:
- 为了研究脆弱性,营养状况和手术后结果之间的关联,在接受腹部手术的老年人中,因为上部胃肠道瘤而进行腹部手术.
- 在这个患者群体中确定虚弱和营养不良的关键指标.
主要方法:
- 这是一项前性观察性研究,涉及72名接受腹部手术的老年患者 (38名脆弱,34名弱势前期).
- 使用FRAIL尺度 (≥3表示脆弱),以及人体测量,生化参数,迷你营养评估 (MNA) 和3天食物记录来评估脆弱性.
- 数据收集发生在手术前,出院时和出院后30天.
主要成果:
- 虚弱的患者在医院住院时间明显长 (中位数:18天 vs. 14天),术后并发症的发生率更高.
- 虚弱的患者表现出较低的MNA分数,中上臂周长 (MUAC),小腿周长 (CC),三肌皮折厚度,手握强度 (HGS),白蛋白,和水平.
- 在脆弱的患者中观察到较低的能量,蛋白质和摄入量,FRAIL得分与营养标记有负相关性,与年龄,并发症和住院时间有正相关性.
结论:
- 虚弱与营养不良和老年患者手术结果较差有显著的关联.
- 对脆弱性和营养状况的全面评估对于这种人口群体的术前和术后护理至关重要.
- 早期识别和干预虚弱和营养不良可能会减轻不良的外科手术结果.
相关概念视频
Enteral Nutrition I: Orogastric and Nasogastric Feeding
465
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
465
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
284
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
284
Peptic Ulcer Disease V: Surgical Management and Nursing Care
411
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
411
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
420
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
420
Appendicitis-II: Diagnostic Studies and Management
145
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
145
Urinary Tract Calculi IV: Nutrition Therapy and Prevention
31
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
31


