在接受选择性肩部手术的患者中,营养风险和炎症状态的患病率
Robert C Juniewicz1, E Fumina Kobayashi, Terence L Thomas
1From the Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA.
The Journal of the American Academy of Orthopaedic Surgeons
|October 3, 2025
概括
肩膀手术患者的营养不良风险很高,BMI升高和许多实验室异常是关键指标. 早期识别营养危险 (NAR) 患者对于更好的结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 营养科学 营养科学
- 炎症反应 炎症反应
背景情况:
- 营养不良对手术结果的影响正受到越来越多的关注.
- 在肩膀手术患者中,营养不良风险的患病率及其与炎症的相关性尚未得到充分证实.
研究的目的:
- 为了确定进行肩部手术的营养风险患者 (NAR) 的患病率.
- 确定NAR状态的风险因素,包括人口因素,并发性疾病和促炎症状态 (PIS).
主要方法:
- 对42名接受选择性肩膀手术的患者进行了回顾性研究.
- 根据异常的白蛋白,白蛋白前或维生素D水平来定义NAR.
- 根据异常的CRP,转激素或血小板:淋巴细胞比率来定义PIS.
- 使用t测试和赔率比率来分析关联.
主要成果:
- 11.9%的患者是NAR; 61.9%的人患有PIS.
- 在NAR患者中,BMI显著更高 (37.0 vs 29.0).
- 在NAR患者中,总体实验室异常的趋势更大 (OR:2.56).
- 在PIS患者中,总体异常实验室显著增加 (OR:3.67).
结论:
- 肩部手术患者的营养风险 (NAR) 比以前报告的更高.
- 较高的BMI和更多的异常营养和炎症实验室是NAR状态的危险因素.
- 这些发现强调了手术前营养评估对这一群体的重要性.
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