Clinical significance of peri-operative change of serum inorganic phosphate levels after moderate-to-ma-jor abdominal surgery
10.3760/cma.j.issn.1674-635X.2019.06.002
- VernacularTitle:腹部大中型手术后血磷变化及其临床意义
- Author:
Zhida CHEN
1
,
2
;
Yunhe GAO
;
Hongqing XI
;
Yun TANG
;
Zhi QIAO
Author Information
1. 100853 北京,中国人民解放军总医院第一医学中心普通外科
2. 100853 北京,中国人民解放军总医院第一医学中心普通外科研究所
- Keywords:
Hypophosphatemia;
Critically ill;
Nutritional risk
- From:
Chinese Journal of Clinical Nutrition
2019;27(6):338-341
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the occurrence and clinical significance of hypophosphatemia after mod-erate-to-major abdominal surgery. Methods A total of 120 patients who had received moderate to major abdominal surgery and then transferred to the intensive care unit ( ICU) from January 2008 to October 2018 were retrospectively analyzed. The peri-operative parameters of serum inorganic phosphate and calcium levels were recorded and analyzed. The incidence of hypophosphatemia after the operation was calculated. The effect of phosphorus-supplement infusion on the complications and mortality within 30 days after the operation were observed. Results After moderate-to-major surgery, the phosphorus concentration significantly decreased [ (1. 21±0. 27) vs. (0. 83±0. 24) mmol/L, P<0. 05];the incidence of hypophosphatemia was 58. 3％, especially in patients with nutritional risk assessed before the operation. The post-operative complications were less in the phosphorus-supplement infusion group than in the control group (17. 5％vs. 41. 3％, P=0. 028). Conclusion The incidence of hypophosphatemia is relatively high after moderate-to-major abdominal surgery, especially in patients with nutritional risks. The treatment of phosphorus-sup-plement infusion can benefit the patients in their short-term prognosis.
