相关实验视频
Updated: Jan 18, 2026

13:01
Modified Single-Loop Reconstruction for Pancreaticoduodenectomy
Published on: September 28, 2019
8.0K
在标准化手术前营养支持后进行胰腺管切除术的患者的营养风险评估
Katerina Knapkova1, Martin Lovecek2, Jana Tesarikova1
1Department of Surgery, Faculty of Medicine and Dentistry, Palacky University Olomouc, Zdravotníků 248/7, 77900 Olomouc, Czech Republic.
Nutrients
|September 13, 2025
概括
标准化手术前营养改善了经历胰腺切除术 (PD) 的营养不良患者的结果. 低血清前白蛋白水平被确定为PD后重大术后并发症的关键预测因素.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 营养科学 营养科学
背景情况:
- 手术后的结果受到营养状况的显著影响.
- 标准化手术前营养准备对接受胰腺切除术 (PD) 的营养不良患者的发病率的影响需要进一步调查.
研究的目的:
- 在标准化了PD患者的营养查和干预后,评估术前营养参数.
- 评估这些营养参数对术后发病率的影响.
主要方法:
- 一项前性队列研究,涉及从2019年到2021年接受PD的133名患者.
- 根据营养状况,患者被分为"高风险"或"低风险",高风险患者接受肠道补充剂.
- 多变量逻辑回归分析了并发症与各种风险因素之间的关联.
主要成果:
- 80名患者 (60.2%) 具有高风险;53名患者 (39.8%) 具有低风险. 重症发生率为18.0%,90天死亡率为3.0%.
- 在高风险和低风险组之间,没有发现主要发病率,死亡率或住院时间的显著差异.
- 低前白蛋白 (<0.2 g/L),小导管直径 (≤3 mm),软胰腺质地和男性性别与重大术后并发症有关.
结论:
- 在接受PD的高风险患者中,标准化手术前营养导致了与低风险患者相比的并发症率.
- 低血清前白蛋白是胰腺二切除术后重大术后并发症的重要预测因子.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
853
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...
853
Chronic Pancreatitis II: Collaborative Care
315
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
315
Peripheral Artery Disease V: Postoperative Nursing Management
378
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...
378
Peritoneal Dialysis III: Nursing Management
676
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
676
Enteral Nutrition I: Orogastric and Nasogastric Feeding
1.3K
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...
1.3K
Peptic Ulcer Disease V: Surgical Management and Nursing Care
830
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
830

