体力状况及营养风险对胰十二指肠切除术后并发症的影响

发布时间：2021-11-22 11:08

　　目的:探讨术前体力状况和营养风险的相关性及对胰十二指肠切除术（PD）后并发症的影响,初步评价两者对术后并发症的预测价值。方法:回顾性分析浙江大学医学院附属邵逸夫医院肝胆胰外科于2013年1月至2016年9月收治入院的125例行胰十二指肠切除术（PD）患者的临床资料,术前根据体力状况评分（ZPS,5分法）和NRS 2002对PD患者进行体力状况和营养风险的评估。临床结局设定为术后并发症的发生,并按术后并发症Clavien系统分级将并发症分为严重并发症（Clavien分级Ⅲ、Ⅳ、Ⅴ级）和一般并发症（Clavien分级Ⅰ、Ⅱ级）。采用Spearman秩相关性系数表示术前体力状况评分和NRS2002的相关性,通过X2检验分析两者与术后并发症之间的关系;并对术前可能与并发症相关的因素行单因素分析及非条件Logistic回归分析。结果:1.125例PD术后总的并发症53例,发病率为42.4%。其中严重并发症18例（24例次）,发病率为17.6%,死亡4例（3.2%）。2.术前NRS2002≥3即存在营养风险者61例（48.8%）,ZPS≥2即体力状况不佳者32例（25.6%）,体力状况评分与NRS... 

【文章来源】：浙江大学浙江省 211工程院校 985工程院校 教育部直属院校

【文章页数】：47 页

【学位级别】：硕士

【部分图文】：

图１?各评分法诊睜ＰＤ术后并发症的ＲＯＣ曲线??

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本文编号：3511566