目的:探討術(shù)前體力狀況和營養(yǎng)風(fēng)險的相關(guān)性及對胰十二指腸切除術(shù)（PD）后并發(fā)癥的影響,初步評價兩者對術(shù)后并發(fā)癥的預(yù)測價值。方法:回顧性分析浙江大學(xué)醫(yī)學(xué)院附屬邵逸夫醫(yī)院肝膽胰外科于2013年1月至2016年9月收治入院的125例行胰十二指腸切除術(shù)（PD）患者的臨床資料,術(shù)前根據(jù)體力狀況評分（ZPS,5分法）和NRS 2002對PD患者進行體力狀況和營養(yǎng)風(fēng)險的評估。臨床結(jié)局設(shè)定為術(shù)后并發(fā)癥的發(fā)生,并按術(shù)后并發(fā)癥Clavien系統(tǒng)分級將并發(fā)癥分為嚴(yán)重并發(fā)癥（Clavien分級Ⅲ、Ⅳ、Ⅴ級）和一般并發(fā)癥（Clavien分級Ⅰ、Ⅱ級）。采用Spearman秩相關(guān)性系數(shù)表示術(shù)前體力狀況評分和NRS2002的相關(guān)性,通過X2檢驗分析兩者與術(shù)后并發(fā)癥之間的關(guān)系;并對術(shù)前可能與并發(fā)癥相關(guān)的因素行單因素分析及非條件Logistic回歸分析。結(jié)果:1.125例PD術(shù)后總的并發(fā)癥53例,發(fā)病率為42.4%。其中嚴(yán)重并發(fā)癥18例（24例次）,發(fā)病率為17.6%,死亡4例（3.2%）。2.術(shù)前NRS2002≥3即存在營養(yǎng)風(fēng)險者61例（48.8%）,ZPS≥2即體力狀況不佳者32例（25.6%）,體力狀況評分與NRS... 

【文章來源】：浙江大學(xué)浙江省 211工程院校 985工程院校 教育部直屬院校

【文章頁數(shù)】：47 頁

【學(xué)位級別】：碩士

【部分圖文】：

圖１?各評分法診睜ＰＤ術(shù)后并發(fā)癥的ＲＯＣ曲線??

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