营养风险程度对胰十二指肠术后并发症的影响  

Effect of nutritional risk degree on postoperative complications of pancreaticoduodenectomy

作　　者：李悦 郑平[1] 颜华英 张明[1] 齐玉梅[1] Li Yue;Zheng Ping;Yan Huaying;Zhang Ming;Qi Yumei(Department of Nutrition,The Third Central Hospital of Tianjin,Tianjin 300171,China)

机构地区：[1]天津市第三中心医院,天津300171

出　　处：《首都食品与医药》2023年第21期37-39,共3页Capital Food Medicine

摘　　要：目的探讨NRS2002在术前评估中的应用情况以及不同程度的营养风险对术后并发症的影响.方法此研究为回顾性分析,研究对象为2021年1月-2022年12月于天津市第三中心医院接受胰十二指肠切除术并在术后采用个体化营养治疗的90例患者,根据NRS2002得分将患者分为A组(NRS2002<3分,22例)、B组(NRS2002 3-4分,43例)、C组(NRS2002≥5分,25例),比较三组患者术前、术后化验指标及术后并发症发生率、临床结局情况.结果三组患者性别、共患病、手术时间、出血量以及术后病理分型方面无明显差异(P>0.05).B组和C组出院前白蛋白水平均较术前低,具有统计学意义(P<0.05).C组术后并发症总发生率、术后住院时长均较无营养风险组明显增加(P<0.05).单个术后并发症中,高营养风险组的腹腔感染较无营养风险组发生率高(P<0.05),其他并发症三组间无明显差异(P>0.05).结论胰十二指肠切除术患者术前营养风险发生率较高(75.6%),且会影响术后恢复,NRS2002能有效评估患者营养风险,可以作为胰十二指肠切除术患者术前评估的方法之一.Objective To investigate the application of NRS2002 in preoperative assessment and the effect of different degrees of nutritional risk on postoperative complications.Methods The study subjects were 90 patients who underwent PD and postoperative individualized nutritional therapy at third central hospital of Tianjin from January 2021 to December 2022.According to the NRS2002 score,the patients were divided into A group(NRS2002<3,22 cases),B group(NRS20023-4,43 cases),C group(NRS2002≥5 group,25 cases).The preoperative and postoperative laboratory indexes,postoperative complication rate and clinical outcome of the three groups were compared.Results There were no significant differences in gender,comorbidity,operation time,blood loss and postoperative pathological diagnosis among the three groups(P>0.05).The levels of albumin in B group and C group before discharge were lower than those before discharge,with statistical significance(P<0.05).The total incidence of postoperative complications and length of postoperative hospital stay in C group were significantly higher than those in no nutritional risk group(P<0.05).Among the single postoperative complications,the incidence of abdominal infection in the high nutritional risk group was higher than that in the non-nutritional risk group(P<0.05),and there was no significant difference in other complications among the three groups(P>0.05).Conclusion The incidence of nutritional risk before PD is higher(75.6%),which will affect the postoperative recovery.NRS2002 can effectively evaluate the nutritional risk of patients,and can be used as one of the methods for preoperative evaluation of patients with PD.

关 键 词：NRS2002 胰十二指肠切除术 营养风险 术后并发症 

分 类 号：R657.5[医药卫生—外科学]