老年营养风险指数对脊髓损伤患者术后并发症的预测价值  

Predictive value of geriatric nutritional risk index on postoperative complications in patients with spinal cord injury

作　　者：汪晶 李伦兰[1] 廖晨霞 高馨 WANG Jing;LI Lunlan;LIAO Chenxia;GAO Xin(The First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院,安徽合肥230022

出　　处：《临床医药实践》2025年第3期216-220,共5页Proceeding of Clinical Medicine

摘　　要：目的:探讨老年营养风险指数(GNRI)对脊髓损伤(SCI)患者术后并发症发生风险的预测价值。方法:回顾性分析2019年1月-2022年12月进行手术治疗的205例老年SCI患者的临床资料,根据术后是否发生并发症分为并发症组和非并发症组,并依据患者术前实验室检查结果计算GNRI,通过单因素分析和多因素Logistic回归分析SCI患者术后并发症的影响因素。采用受试者工作特征曲线(ROC)评价GNRI对SCI患者术后并发症发生的预测价值,并根据GNRI临界值进行分组,比较不同组别老年SCI患者住院费用及住院时间的差异。结果:205例老年SCI患者中,出现术后并发症83例(40.5%)。多因素Logistic回归分析结果显示,脊髓损伤程度(ASIA)分级和GNRI为老年SCI患者术后并发症的独立危险因素,OR值分别为14.537和0.843;GNRI对老年SCI患者术后并发症有预测价值,区分是否发生并发症的最佳临界值为96.1,ROC曲线下面积为0.774;低GNRI患者住院费用及住院天数显著高于高GNRI者,差异有统计学意义(P<0.05)。结论:术前GNRI可以预测老年SCI患者术后并发症的发生。临床医护工作者需及时对老年SCI患者进行营养风险评估,改善患者术前营养状态,以减少术后并发症的发生。Objective:To investigate the predictive value of geriatric nutritional risk index(GNRI)on the risk of postoperative complications in patients with spinal cord injury(SCI).Methods:A retrospective analysis of the clinical data of 205 elderly patients with SCI who were admitted to and operated on by the spinal surgery of a tertiary hospital from January 2019 to December 2022,grouped according to whether complications occurred after surgery,and calculate the GNRI based on the results of the patient's preoperative laboratory examination,through univariate analysis and multivariate logistic regression analysis the influencing factors of postoperative complications in SCI patients.Meanwhile,use receiver operating characteristic curve(ROC)to evaluate the predictive value of GNRI for postoperative complications in SCI patients,and grouped according to GNRI critical value to compare the differences of hospitalization costs and length of stay in different groups of elderly SCI patients.Results:Among the 205 elderly patients with SCI,83 patients(40.5%)experienced postoperative complications.The results of multivariate logistic regression analysis showed that spinal cord injury degree(ASIA)classification and GNRI were independent risk factors for postoperative complications in elderly SCI patients(OR=14.537 and 0.843,both P<0.05).GNRI has a predictive effect on postoperative complications in elderly SCI patients,and the optimal critical value to distinguish the occurrence of complications is 96.1,and the area under the ROC curve is 0.774.The hospitalization costs and length of stay in the low GNRI group were significantly higher than those in the high GNRI group,and the difference was statistically significant(P<0.05).Conclusion:Preoperative GNRI can predict the occurrence of postoperative complications in elderly SCI patients,clinical nurses need to timely carry out nutritional risk assessment on elderly SCI patients,and improve the nutritional status of patients before surgery to reduce the occurrence of postoperative compl

关 键 词：老年人营养风险指数 脊髓损伤 术后并发症 

分 类 号：R683.2[医药卫生—骨科学]