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术前营养不良对术后结果的影响腰部减压治疗的老年患者

Yuki Taniguchi^1,2, Hideki Nakamoto², So Kato²

¹Surgical Center, The University of Tokyo Hospital, Tokyo, JPN.

|October 13, 2025

概括

在接受腰部减压的老年人中,手术前营养不良增加了手术后一年生活质量下降的风险. 这凸显了营养不良患者的脆弱性,尽管总体情况有相似的改善.

科学领域:

老年医学老年医学
整形外科手术整形外科手术
营养科学营养科学

背景情况:

营养不良在老年人中很常见,并与脆弱性和肉症有关.
手术前的营养状况会影响术后的结果,但它对脊柱手术后的生活质量的影响还未得到充分研究.
现有的研究更多地关注并发症和死亡率,而不是生活质量.

研究的目的:

调查手术前营养不良对接受腰部减压的老年患者手术后健康相关生活质量的影响.
确定手术前的营养状况是否能预测这种特定的脊柱手术后的生活质量.

主要方法:

对65岁或以上经历腰部减压的患者的回顾性分析.
评估与健康有关的生活质量,使用EuroQol五维三级问卷 (EQ-5D-3L) 在手术前和手术后一年.
将患者分类为营养不良风险组 (老年营养风险指数 (GNRI) ≤98) 与没有营养不良风险.

主要成果:

在245名患者中,44人属于营养不良风险组.
营养不良风险组在一年内出现生活质量恶化的发病率较高 (22.7%对11.0%,P=0.047).
术前GNRI≤98被确定为1年后EQ-5D-3L值下降的独立风险因素 (OR,2.64;P=0.03).

结论:

患有手术前营养不良风险的老年患者在腰部减压后一年经历了显著的生活质量下降.
尽管群体之间的EQ-5D-3L总体改善相似,但营养不良患者的一个子组面临着生活质量大幅下降.
这项研究强调了脊柱手术后营养不良老年人的持续脆弱性.

关键词:

压缩减压的方法是老年人的医疗服务与健康相关的生活质量.腰部脊柱腰部脊柱腰部脊柱营养不良营养不良营养不良

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