甲亢病人围手术期人体组成的动态观察

Continuous observation for the composition of human body in hyperthyroidism patients in the period of perioperation

目的：采用人体脂肪分析仪（ＢＦＡ－１００）对甲状腺功能亢进症（以下简称甲亢）病人入院后进行营养评定，并进行人体组成围手术期的动态观察。方法：８５例病人入院３天内行体重／身高（ＷＴ／ＨＴ）、三头肌皮皱厚度（ＴＳＦ）、上臂肌围（ＡＭＣ）、握力（ＧＳ）、体脂（ＢＦ）检测，进行营养评定。其中５４例于术前日和术后第５天分别行第２次、第３次上述指标测定。结果：甲亢病人入院时存在着不同程度的营养不良，发生率为９６％（８２／８５）。经术前准备，术前日的ＷＴ／ＨＴ、ＴＳＦ、ＢＦ均较入院时显著增加。术后第５天测定值与术前相比无统计学意义。结论：利用生物电阻抗法检测甲亢时的人体组成，能了解营养不良的状况。

Objectives: To explore the chagnes in nutirtional situation of the patients with hyperthyroidism at admission and in the period of perioperation with (BFA100). Methods: Indeses (WT/HT,TSF,AMC,GS,BF) were conducted in 85 patients with hyperthyroidism within 3 day of admission.Nutritional situation was continuously evaluated in 54 patients 1 day before and 5 day after operation with same method. Results: Malnutrition in different degrees were found to be 96%(82/85) at admission.With preoperative preparation, WT/HT,TSF,BF were significantly higher at the day before operation than those at admission.No significant changes were found after operation. Conclusions:Malnutrition of the patients with hyperthyroidism could be determined by the measurement of composition of human body with bioelectricity impedance.