FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to therapy, and can be used for predicting carbohydrates exchange disorder in post-operation period in patients subjected to pancreatic-duodenal resection. Patient's medical history data are collected: age, duration of glycohemia disorders, duration of main disease; anthropometric indices: waist circumference, biceps circumference, body weight index; laboratory-instrumental indices: levels of blood amylase, general protein, y-glutamyl transpeptidase and presence of reflux-esophagitis; glycohemia level before operation; after that prognostic coefficients of each sign are determined by corresponding table and if sum of said coefficients is not greater than "-13", high risk degree is determined, if it is from "-7" to "-12" - medium degree is determined, from "0" to "-6" - low degree of risk of carbohydrates exchange decompensation development in post-operation period is determined, on condition that sum of prognostic coefficients is greater than "0" possibility of post-operation glycohemia compensation is determined.
EFFECT: method possesses obvious medical-social efficiency, as it allows, in case of high risk of carbohydrates exchange decompensation in post-operation period, to intensify pre-operation preparation in proper time, which leads to reduction of complication frequency, reduces hospitalisation terms and facilitates rehabilitation in post-operation period.
5 tbl, 4 ex
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Authors
Dates
2009-09-27—Published
2008-04-29—Filed