预后营养指数对急性 empyema 的术后结果的影响
Toshio Shiotani1, Noriaki Shiraha1, Kaoru Kondo1
1Department of Thoracic Surgery, NHO Iwakuni Clinical Center, Iwakuni, Japan.
Journal of thoracic disease
|December 11, 2025
概括
预后营养指数 (PNI) 可以预测急性恩皮埃马手术后的1年生存期. 较低的术前PNI表明死亡风险较高,但改善的术后PNI表明更好的结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 关键护理医学 关键护理医学
背景情况:
- 预后营养指数 (PNI) 已被公认为其在预测各种外科手术术后结果的实用性.
- 急性 empyema 带来了重大的术后挑战,需要可靠的预后生物标志物.
研究的目的:
- 评估PNI的预后价值作为预测急性empyema手术患者的1年生存期的生物标志物.
- 确定术前和术后PNI水平与患者生存结果之间的关联.
主要方法:
- 一项回顾性研究包括了75名因急性 empyema 接受手术的患者.
- 在手术前的PNI (3天内) 和手术后的PNI (手术后7天) 在存活率和1年内死亡率组之间进行了比较.
- 为了分析1年生存率,确定了手术前PNI的截止值.
主要成果:
- 一年死亡率组显示,与生存组相比,手术前PNI显著较低 (P=0.01).
- 手术前的PNI与术后长时间住院有显著的相关性 (r=-0.51,P<0.001).
- 手术前PNI>29.3的患者表现出明显更好的1年生存率 (P=0.02).
结论:
- PNI显示了潜在的潜在预测器的术后预后在急性 empyema 患者.
- PNI可以作为评估术后治疗策略有效性的指标.
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