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体质指数 (BMI) 与选择性整体外科手术中的术后并发症之间的相关性:一项多中心研究

Yashar Mashayekhi¹, Muhammad Idrees Shabbir², Sara Baba-Aissa³

¹Medicine, Leicester University Hospital, Leicester, GBR.

|October 22, 2025

概括

身体质量指数 (BMI) 的极端,特别是肥胖,增加了在一般手术中出现30天术后并发症的风险. 术前的BMI评估对于手术风险分层和降低患者病率至关重要.

科学领域:

手术结果研究研究.
营养状况评估营养状况评估
公共卫生与流行病学

背景情况:

体重指数 (BMI) 是营养状况的关键指标,与手术结果有着确定的联系.
肥胖和体重不足都与手术后不良事件的风险增加有关.

研究的目的:

评估身体质量指数 (BMI) 和30天术后并发症之间的关联.
确定BMI类别与手术并发症的发生率,类型和严重程度的相关性.

主要方法:

一项横截面的多中心研究,涉及355名接受选择性全科手术的成年患者.
患者根据世卫组织的BMI分类进行分类,术后并发症使用Clavien-Dindo系统进行分级.

主要成果:

与正常体重 (18.5%) 相比,肥胖患者 (36.4%) 和体重不足患者 (25.0%) 的术后并发症率最高.
手术部位感染 (10.7%),肺部并发症 (5.9%) 和伤口脱光 (4.2%) 是最常见的并发症.
肥胖患者经历了明显更长的手术时间和住院时间.

结论:

体重指数升高,特别是肥胖,与选择性整体外科手术中术后并发症率的增加有关.
建议将手术前的BMI评估纳入手术风险分层.
优化BMI的有针对性的策略对于减少外科手术发病率至关重要.

关键词:

这就是BMI.发生并发症的情况.患者的满意度患者的满意度手术手术手术手术手术手术手术手术部位感染 (ssi)

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