手术前营养状况对腹腔镜胆囊切除术后结果的影响:巴斯拉教学医院的一项研究
Tahseen A Hasan1, Ali Jabbari2, Hassan Mirzaei1
1Ischemic Disorders Research Center, Golestan University of Medical Sciences, Gorgan, IRN.
Cureus
|August 21, 2025
概括
通过MNA- SF评估的术前营养状况没有预测腹腔镜胆囊切除术患者的术后疼痛,恶心或住院情况. 然而,BMI和血清白蛋白与PONV和血压等特定结果存在相关性.
科学领域:
- 手术的结果
- 营养科学
- 胃肠病学
背景情况:
- 营养不良与外科手术的不良结果有关,但其对腹腔镜胆囊切除术 (LC) 等常见手术的影响仍有争议.
- 营养状况显著影响患者的康复和手术后的潜在并发症.
研究的目的:
- 评估手术前营养状况 (使用小型营养评估-简短表格-MNA-SF) 与术后结果之间的关系.
- 评估血清白蛋白,体重指数 (BMI) 和LC后疼痛,恶心,吐和住院等结果之间的相关性.
主要方法:
- 一项前性观察性研究包括140名接受选择性LC的成年患者.
- 在手术前的评估包括MNA-SF,BMI和血清白蛋白.
- 在24小时内监测术后结果 (疼痛,恶心,吐,住院).
主要成果:
- 根据MNA- SF,18. 6%的患者营养不良,51. 4%的患者有风险.
- MNA- SF评分与停留时间,PONV或疼痛没有显著相关性.
- 较高的BMI与手术后恶心和吐 (PONV) 的发生率较低有关.
- 较低的血清白蛋白与手术后较低的静脉压和静脉压相关.
结论:
- 在该LC队列中,MNA- SF对常见的术后并发症具有有限的预测价值.
- 血清白蛋白和BMI可以帮助识别患有低血压和PONV等特定不良事件的患者.
- 这些营养指标可以指导针对性的外科手术管理策略.
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