[1]陈建,姚琦敏,杨爱菊,等.妇科患者术后低蛋白血症的影响因素分析[J].福建医药杂志,2023,45(01):12-15.
 CHEN Jian,YAO Qimin,YANG Aiju,et al.Analysis of influencing factors of postoperative hypoalbuminemia in gynecological patients[J].FUJIAN MEDICAL JOURNAL,2023,45(01):12-15.
点击复制

妇科患者术后低蛋白血症的影响因素分析()
分享到:

《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
45
期数:
2023年01期
页码:
12-15
栏目:
临床研究
出版日期:
2023-02-15

文章信息/Info

Title:
Analysis of influencing factors of postoperative hypoalbuminemia in gynecological patients
文章编号:
1002-2600(2023)01-0012-04
作者:
陈建姚琦敏1杨爱菊2高晨范学雄何海新3
福建医科大学肿瘤临床医学院 福建省肿瘤医院妇科肿瘤外科(福州 350014)
Author(s):
CHEN Jian YAO Qimin YANG Aiju GAO Chen FAN Xuexiong HE Haixin
Surgical Department of Gynecological Oncology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, Fujian 350014, China
关键词:
妇科手术 低蛋白血症 影响因素
Keywords:
gynecological surgery hypoalbuminemia influencing factors
分类号:
R713
文献标志码:
B
摘要:
目的 探讨妇科患者术后低蛋白血症的影响因素。方法 回顾性分析我科2021年8月至2022年2月收治的186例妇科手术患者的临床资料,探讨妇科手术患者术后低蛋白血症的发生情况及影响因素。结果 妇科患者术后低蛋白血症的发生率为25.3%。多因素Logistic回归分析显示:肿瘤良恶性、术中出血、术前清蛋白水平是妇科患者术后发生低蛋白血症的独立影响因素(P<0.05)。结论 术前对营养不良患者及早干预、营养支持,术中细致操作、减少出血,有望降低术后低蛋白血症的发生率,改善妇科患者的预后。
Abstract:
Objective To investigate the influencing factors of postoperative hypoalbuminemia in gynecological patients.Methods The clinical data of 186 patients undergoing gynecological surgery in our department from August 2021 to February 2022 were analyzed retrospectively to explore the occurrence and influencing factors of hypoproteinemia after surgery.Results The incidence of postoperative hypoalbuminemia in gynecological patients was 25.3%.Binary Logistic regression analysis showed that the independent influencing factors of hypoalbuminemia in gynecological patients include benign or malignant tumor, intraoperative bleeding and preoperative albumin level(P<0.05).Conclusion Early intervention, nutritional support, careful operation during operation and reduction of bleeding for patients with malnutrition before operation are expected to reduce the incidence of postoperative hypoalbuminemia and improve the prognosis of gynecological patients.

参考文献/References:

[1] Hendrickson N R, Glass N, Compton J, et al.Perioperative nutrition assessment in musculoskeletal trauma patients: Dietitian evaluation is superior to serum chemistries or modified screening questionnaire for risk stratification[J].Clin Nutr ESPEN,2019,2(29): 97-102.
[2] Elia M, Parsons E L, Cawood A L, et al.cost-effectiveness of oral nutritional supplements in older malnourished care home residents[J].Clin Nutr,2018,37(2): 651-658.
[3] Pu H, Doig G S, Heighes P T,et al.Early Enteral Nutrition Reduces Mortality and Improves Other Key Outcomes in Patients With Major Burn Injury: A Meta-Analysis of Randomized Controlled Trials[J].Crit Care Med,2018,46(12): 2036-2042.
[4] Lyell N J, Kitano M, Smith B, et al.The effect of preoperative nutritional status on postoperative complications and overall survival in patients undergoing pelvic exenteration: A multi-disciplinary, multi-institutional cohort study[J].Am J Surg,2019,218(2): 275-280.
[5] Reijnierse E M, Verlaan S, Pham V K,et al.Lower Skeletal Muscle Mass at Admission Independently Predicts Falls and Mortality 3 Months Post-discharge in Hospitalized Older Patients[J].J Gerontol A Biol Sci Med Sci,2019,74(10): 1650-1656.
[6] 余跃, 高云.骨科超高龄手术患者术后低蛋白血症发生的相关高危因素分析[J].中国社区医师,2016,32(8): 79-80.
[7] 袁锡裕, 叶根榕, 黎曙练, 等.胃肠手术后血清清蛋白浓度的影响与预测因素[J].中国医学创新,2014,11(3): 21-23.
[8] 马敏慧.非感染患者术后严重低蛋白血症的影响因素分析[D].昆明医科大学,2017.
[9] Kondrup J, Rasmussen H H, Hamberg O, et al.Nutritional risk screening(NRS 2002): a new method based on an analysis of controlled clinical trials[J].Clin Nutr, 2003,22(3):321-336.
[10] Wischmeyer P E, Carli F, Evans D C, et al.American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway[J].Anesth Analg, 2018,126(6):1883-1895.
[11] Loftus T J, Brown M P, Slish J H, et al.Serum Levels of Prealbumin and Albumin for Preoperative Risk Stratification[J].Nutr Clin Pract, 2019,34(3):340-348.
[12] 李秋萍, 韩斌如, 陈曦.外科大手术老年患者发生术后低蛋白血症影响因素的队列研究[J].护理学报, 2020,27(11):66-70.
[13] Gillis C, Nguyen T H, Liberman A S, et al.Nutrition adequ-acy in enhanced recovery after surgery: a single academic center experience[J].Nutr Clin Pract, 2015,30(3):414-419.
[14] Jie B, Jiang Z M, Nolan M T, et al.Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk[J].Nutrition, 2012,28(10):1022-1027.

相似文献/References:

[1]郑柳榕,黄鸿玉,郑纾.益生菌对妇科腹腔镜手术后腹胀及肠道粘膜屏障功能的影响[J].福建医药杂志,2023,45(01):22.

备注/Memo

备注/Memo:
1 福建江夏学院; 2 福兴妇产医院妇产科; 3 通信作者,Email:63804657@qq.com
更新日期/Last Update: 2023-02-15