TÌNH TRẠNG DINH DƯỠNG, BIẾN CHỨNG SAU PHẪU THUẬT TRÊN BỆNH NHÂN PHẪU THUẬT ĐƯỜNG TIÊU HÓA TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI NĂM 2016 VÀ MỘT SỐ YẾU TỐ LIÊN QUAN

Abstract

The pre-operative nutritional status plays an important role in the recovery and patient’s post-operative complications. Objectives: This study aimed to evaluate the nutritional status of pre-operative, post-operative gastrointestinal patients and describing the relations between some factors with post-operative complications. Methods: A cross-sectional study was conducted on 82 patients. Results: participants got chronic energy deficiency and MUAC (Mid upper arm circumference) were 23.2% and 20.7%, respectively. The proportion of patients at risk for malnutrition under the SGA (Subjective global assessment) with SGA at B and C levels was 56.1%. Before operation, there was 18.2% of patients decrease serum Albumin level at risk. Post-operative complications include: abdominal bloating, surgical bleeding, diarrhea, infection of incision, urinary tract infection and respiratory tract infection were 29.6%, 22.2%, 18.5%, 14.8%, 11.1% and 3.7%, respectively. Males have a risk of infection 5.5 times higher than females, and patients with BMI <18.5 have a risk infection 4.3 times higher than that of patients with BMI ≥18,5 (p<0,05).