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术前营养状态对脊柱手术术后并发症的影响
江润益,孙海涛,何韶辉,肖建如*
0
(海军军医大学(第二军医大学)第二附属医院骨肿瘤科, 上海 200003
*通信作者)
摘要:
脊柱手术作为治疗脊柱病变的主要手段,其术后并发症的发生率逐步升高。如何防治脊柱手术术后并发症受到临床医师的重视。研究表明术前营养不良与许多术后并发症如手术部位伤口感染、出血、血栓形成、肺炎等的发生有关,且脊柱手术患者的术前个体营养状态是术后并发症的独立危险因素。本文主要就脊柱手术患者术前营养状态与术后并发症的关系进行综述。
关键词:  营养不良  手术后并发症  脊柱手术  低蛋白血症  白蛋白
DOI:10.16781/j.CN31-2187/R.20191279
投稿时间:2019-12-21修订日期:2020-07-02
基金项目:
Influence of preoperative nutritional status on postoperative complications after spinal surgery
JIANG Run-yi,SUN Hai-tao,HE Shao-hui,XIAO Jian-ru*
(Department of Orthopaedic Oncology, The Second Affiliated Hospital of Naval Medical University(Second Military Medical University), Shanghai 200003, China
*Corresponding author)
Abstract:
Spinal surgery, which is the main method to treat spinal disease, has an increasing incidence of postoperative complications. How to prevent postoperative complications after spinal surgery has attracted great attention from clinicians. Studies have demonstrated that preoperative malnutrition is associated with a variety of postoperative complications (such as wound infection, hemorrhage, thrombosis and pneumonia), and the preoperative individual nutritional status of patients is an independent risk factor for postoperative complications after spinal surgery. This paper reviews the relationship between preoperative nutritional status and postoperative complications of spinal surgery.
Key words:  malnutrition  postoperative complications  spinal surgery  hypoalbuminemia  albumin