妇科疾病手术病人人体成分与营养状况研究
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摘要
目的:运用生物电阻抗法对妇科疾病手术病人进行人体成分检测,探讨妇科疾病与体成分改变的关系,为妇科疾病病人的围术期和营养管理提供依据。方法:选取2016年1月至2018年4月在河北医科大学第一医院妇科住院的302例妇科手术病人为病例组,健康体检无妇科疾病的102名女性为对照组。对研究对象进行问卷调查,收集一般资料、年龄、身高、体质量、人体成分分析结果。并对病例组检测生化指标。结果:病例组喜欢吃甜食的人为59.27%(179/302),病例组体质指数、上臂中点周径、上臂肌肉周径、脂肪含量、体脂百分比、内脏脂肪面积均高于对照组(P <0.05)。病例组不同体脂率分组间的血糖及甘油三酯存在差异,随着体脂率的增加,血糖及甘油三酯水平呈增长趋势。不同体脂率分组病人血红蛋白含量有统计学差异。根据妇科肿瘤的类型分组,良性肿瘤与恶性肿瘤组的脂肪量、内脏脂肪面积比较,差异有统计学意义(P <0.05),提示恶性肿瘤组病人脂肪量、内脏脂肪面积均高于良性肿瘤组。结论:对妇科疾病病人进行人体成分分析可较准确了解其营养及代谢情况,为进一步预防、治疗妇科疾病提供参考依据。
Objective: To analyze body composition of patients undergoing gynecological surgery using bioelectrical impedance analysis and to provide rationale of nutritional intervention for the patients with gynecologic diseases. Methods: Three-hundred and two patients undergoing gynecological surgery and 102 healthy women without gynecologic diseases as control group were recruited from January 2016 to April 2018. Questionnaire survey was conducted; data collected included age, height, weight and body composition. Serum biochemical indexes were also measured. Results: Among patients with gynecological disease, 59.27%(179/302)of them preferred sweet foods. Also,they showed higher BMI, mid arm circumference, upper arm muscle circumference, fat content, percentage of body fat,and visceral fat area compared to the control group(all P < 0.05). In patients with gynecological disease, there were differences in triglyceride, blood glucose and hemoglobin indexes among groups with different body fat ratio.Triglyceride and blood glucose levels increased proportionally to body fat ratio. There was significant difference in fat content between patients with benign and malignant tumor. Conclusion: With body composition analysis, the nutritional and metabolic status of patients with gynecologic diseases could be accurately assessed. This provides reference for further intervention and treatment.
Objective: To analyze body composition of patients undergoing gynecological surgery using bioelectrical impedance analysis and to provide rationale of nutritional intervention for the patients with gynecologic diseases. Methods: Three-hundred and two patients undergoing gynecological surgery and 102 healthy women without gynecologic diseases as control group were recruited from January 2016 to April 2018. Questionnaire survey was conducted; data collected included age, height, weight and body composition. Serum biochemical indexes were also measured. Results: Among patients with gynecological disease, 59.27%(179/302)of them preferred sweet foods. Also,they showed higher BMI, mid arm circumference, upper arm muscle circumference, fat content, percentage of body fat,and visceral fat area compared to the control group(all P < 0.05). In patients with gynecological disease, there were differences in triglyceride, blood glucose and hemoglobin indexes among groups with different body fat ratio.Triglyceride and blood glucose levels increased proportionally to body fat ratio. There was significant difference in fat content between patients with benign and malignant tumor. Conclusion: With body composition analysis, the nutritional and metabolic status of patients with gynecologic diseases could be accurately assessed. This provides reference for further intervention and treatment.
引文
[1] Ehrmann DA. Polycystic ovary syndrome.N Engl J Med, 2005,35(12):1223-1236.
[2]赵明利,李宁.人体成分分析及其应用.肠外与肠内营养,2016,(01):50-54.
[3] Boulier A, Fricker J, Thomasset AL, et al. Fat-free mass estimation by the two-electrode impedance method. Am J Clin Nutr, 1990,52(4):581-585.
[4] Thomson R, Brinkworth GD, Buckley JD, et al. Good agreement between bioelectrical impedance and dual-energy X-ray absorptiometry for estimating changes in body composition during weight loss in overweight young women. Clin Nutr,2007,26(6):771-777.
[5]胡景敏,边姗姗,张志广.人体成分分析在临床实践中的应用.医学综述, 2016,19(9):3783-3787.
[6] Ribeiro SM, Kehayias JJ. Sarcopenia and the analysis of body composition. Adv Nutr,2014,5(3):260-267.
[7] Johansen KL, Lee C. Body composition in chronic kidney disease. Curr Opin Nephrol Hypertens,2015,24(3):268-275.
[8] Johansen KL, Dalrymple LS, Delgado C, et al. Association between body composition and frailty among prevalent hemodialysis patients:a US Renal Data System special study.J Am SocNephrol,2014,25(2):381-389.
[9] Srinivasa S, Grinspoon SK. Metabolic and body composition effects of newer antiretrovirals in HIV-infected patients. Eur J Endocrinol,2014,170(5):185-202.
[10] Abbatecola AM, Fumagalli A, Spazzafumo L, et al. Body composition markers in older persons with COPD. Age Ageing,2014,43(4):548-553.
[11] Terjimanian MN, Harbaugh CM, Hussain A, et al. Abdominal adiposity, body composition and survival after liver transplantation. Clin Transplant,2016,30(3):289-294.
[12] Garraza M, Cesani MF, Navone GT, et al. Malnutrition and body composition in urban and rural schoolchildren:A cross-sectional study in San Rafael, Mendoza(Argentina). Am J Hum Biol,2016,28(6):796-803.
[13] Earthman CP.Body Composition Tools for Assessment of Adult Malnutrition at the Bedside:A Tutorial on Research Considerations and Clinical Applications. JPEN J Parenter Enteral Nutr,2015,39(7):787-822.
[14] Gonzalez MC, Pastore CA, Orlandi SP, et al. Obesity paradox in cancer:new insights provided by body composition. Am J Clin Nutr,2014,99(5):999-1005.
[15] Brito-Costa A, Pereira-da-Silva L, Papoila AL, et al. Factors Associated With Changes in Body Composition Shortly After Orthotopic Liver Transplantation:The Potential Influence of Immunosuppressive Agents. Transplantation, 2016, 100(8):1714-1722.
[16]李畅妍,何华英.人体成分分析在临床护理中的应用研究及现状.全科护理, 2016, 34(06):553-555.
[2]赵明利,李宁.人体成分分析及其应用.肠外与肠内营养,2016,(01):50-54.
[3] Boulier A, Fricker J, Thomasset AL, et al. Fat-free mass estimation by the two-electrode impedance method. Am J Clin Nutr, 1990,52(4):581-585.
[4] Thomson R, Brinkworth GD, Buckley JD, et al. Good agreement between bioelectrical impedance and dual-energy X-ray absorptiometry for estimating changes in body composition during weight loss in overweight young women. Clin Nutr,2007,26(6):771-777.
[5]胡景敏,边姗姗,张志广.人体成分分析在临床实践中的应用.医学综述, 2016,19(9):3783-3787.
[6] Ribeiro SM, Kehayias JJ. Sarcopenia and the analysis of body composition. Adv Nutr,2014,5(3):260-267.
[7] Johansen KL, Lee C. Body composition in chronic kidney disease. Curr Opin Nephrol Hypertens,2015,24(3):268-275.
[8] Johansen KL, Dalrymple LS, Delgado C, et al. Association between body composition and frailty among prevalent hemodialysis patients:a US Renal Data System special study.J Am SocNephrol,2014,25(2):381-389.
[9] Srinivasa S, Grinspoon SK. Metabolic and body composition effects of newer antiretrovirals in HIV-infected patients. Eur J Endocrinol,2014,170(5):185-202.
[10] Abbatecola AM, Fumagalli A, Spazzafumo L, et al. Body composition markers in older persons with COPD. Age Ageing,2014,43(4):548-553.
[11] Terjimanian MN, Harbaugh CM, Hussain A, et al. Abdominal adiposity, body composition and survival after liver transplantation. Clin Transplant,2016,30(3):289-294.
[12] Garraza M, Cesani MF, Navone GT, et al. Malnutrition and body composition in urban and rural schoolchildren:A cross-sectional study in San Rafael, Mendoza(Argentina). Am J Hum Biol,2016,28(6):796-803.
[13] Earthman CP.Body Composition Tools for Assessment of Adult Malnutrition at the Bedside:A Tutorial on Research Considerations and Clinical Applications. JPEN J Parenter Enteral Nutr,2015,39(7):787-822.
[14] Gonzalez MC, Pastore CA, Orlandi SP, et al. Obesity paradox in cancer:new insights provided by body composition. Am J Clin Nutr,2014,99(5):999-1005.
[15] Brito-Costa A, Pereira-da-Silva L, Papoila AL, et al. Factors Associated With Changes in Body Composition Shortly After Orthotopic Liver Transplantation:The Potential Influence of Immunosuppressive Agents. Transplantation, 2016, 100(8):1714-1722.
[16]李畅妍,何华英.人体成分分析在临床护理中的应用研究及现状.全科护理, 2016, 34(06):553-555.