Clinical significance of detecting body fluid volume and distribution using human body composition analyzer among perioperative patients

doi:10.3877/cma.j.issn.1674-0793.2018.04.003

Abstract

Abstract:

Objective

To explore the meaning and clinical value of detecting body fluid volume and distribution using human body composition analyzer among perioperative patients.

Methods

This study was conducted using the cross-sectional research method. A total of one hundred and twenty-three patients who underwent abdominal surgery in Binzhou Medical University Affiliated Hospital from March to August 2016 were enrolled. The volume of intracellular water (ICW), extracellular water (ECW) and total body water (TBW) was detected by Inbody S10 1 d before operation (PreD1) and 1, 3, 5, 7 postoperatively (POD 1, 3, 5, 7). Furthermore, the effects of ECW/TBW on white blood cells, hemoglobin, albumin and clinical prognosis on POD 1 were analyzed.

Results

ICW, ECW, and TBW were increased in the early stage of postoperation. On POD 1, ICW/TBW reached the lowest level, ECW/TBW reached the highest, and then gradually recovered to normal. The lower the level of hemoglobin and albumin in patients, the higher the ratio of ECW/TBW (>0.400). The longer the time of postoperative abdominal drainage and hospital stay, the higher the incidence of postoperative complications and mortality.

Conclusions

The measurement of body fluid content in the perioperative period has important guiding value for evaluating the prognosis of the patients and reducing the postoperative complications. As a reliable tool, human body composition analyzer has important clinical significance.

Key words: Body fluids, Body fluid compartments, Component analysis

Yanyan Du, Qiangpu Chen, Baofang Sun, Haibin Ji. Clinical significance of detecting body fluid volume and distribution using human body composition analyzer among perioperative patients[J]. Chinese Archives of General Surgery(Electronic Edition), 2018, 12(04): 223-227.

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References 28

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项目	术前	术后第1天	术后第3天	术后第5天	术后第7天
ICW(L)	19.38±3.78	19.93±3.70^a	19.57±3.57	19.45±3.73	19.21±3.43
ECW(L)	12.24±2.22	13.09±2.18^b	12.81±2.15^a	12.54±2.31	12.40±2.10
TBW(L)	31.62±5.96	33.02±5.85^b	32.39±5.67^a	31.99±5.98	31.61±5.48
ICW/TBW	0.61±0.01	0.60±0.01^a	0.60±0.01^a	0.61±0.01	0.61±0.01
ECW/TBW	0.39±0.01	0.40±0.01^a	0.40±0.01^a	0.39±0.01	0.39±0.01

项目	术前	术后第1天	术后第3天	术后第5天	术后第7天
ICW(L)	19.38±3.78	19.93±3.70^a	19.57±3.57	19.45±3.73	19.21±3.43
ECW(L)	12.24±2.22	13.09±2.18^b	12.81±2.15^a	12.54±2.31	12.40±2.10
TBW(L)	31.62±5.96	33.02±5.85^b	32.39±5.67^a	31.99±5.98	31.61±5.48
ICW/TBW	0.61±0.01	0.60±0.01^a	0.60±0.01^a	0.61±0.01	0.61±0.01
ECW/TBW	0.39±0.01	0.40±0.01^a	0.40±0.01^a	0.39±0.01	0.39±0.01

ECW/TBW	例数	白细胞计数（×10⁹/L）	血红蛋白（g/L）	白蛋白（g/L）
<0.390组	44	12.88±4.77	120.70±15.17	34.24±3.90
0.390~0.400组	47	13.26±4.31	112.45±17.31	31.58±4.33
>0.400组	32	11.90±6.40	105.91±15.45^ab	28.36±3.29^ab
F值		0.635	6.203	19.833
P值		0.375	0.000	0.000

ECW/TBW	例数	白细胞计数（×10⁹/L）	血红蛋白（g/L）	白蛋白（g/L）
<0.390组	44	12.88±4.77	120.70±15.17	34.24±3.90
0.390~0.400组	47	13.26±4.31	112.45±17.31	31.58±4.33
>0.400组	32	11.90±6.40	105.91±15.45^ab	28.36±3.29^ab
F值		0.635	6.203	19.833
P值		0.375	0.000	0.000

ECW/TBW		例数	术后住院时间（d）	术后排气时间（h）	引流管放置时间（d）	并发症(例)				死亡[例(%)]
ECW/TBW		例数	术后住院时间（d）	术后排气时间（h）	引流管放置时间（d）	肺部感染	切口感染	胆瘘	肠梗阻	死亡[例(%)]
<0.390组		44	9.23±3.62	40.85±19.57	3.22±1.19	1	0	0	0	0(0)
0.390~0.400组		47	9.35±3.83	41.29±21.18	3.87±1.80	1	2	1	0	0(0)
>0.400组		32	12.85±6.52^a	49.77±18.07	5.15±3.23^a	6	6	3	1	3(9.4)
	统计值		F=6.864	F=4.830	F=4.017	χ²=30.835				χ²=8.745
	P值		0.032	0.089	0.028	0.000				0.013

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