口腔颌面部恶性肿瘤患者营养风险评估及相关因素分析

Evaluation of nutrition risk and analysis of relative factors of patients with oral and maxillofacial cancer

目的 :评估口腔颌面部恶性肿瘤患者潜在的营养风险,分析其相关因素,探讨营养风险的治疗途径。方法 :随机抽取88例口腔颌面部恶性肿瘤患者,记录其年龄、身高、体重、临床分期、血红蛋白、白蛋白、前白蛋白,目前治疗状况,计算患者的体重指数(BMI)。根据营养风险筛查表(NRS2002)计算其评分。采用SPSS 17.0软件包对计数资料行χ2检验。结果:88例口腔颌面部恶性肿瘤患者中,营养不足者(BMI<18.5 kg/m2)18例,占20.45%;有营养风险者(NRS2000评分≥3分)49例,占55.68%。结论:口腔颌面部恶性肿瘤患者营养风险发生率高,年龄越大,营养风险越高,贫血、白蛋白及前白蛋白水平降低会增加营养风险的发生率。

PURPOSE： To evaluate the potential nutrition risk and analyze relative factors in patients with oral and maxillofacial cancer, and explore the treatment method of nutrition risk. METHODS： Eighty eight patients with oral and maxillofacial cancer were included in the present study. Their age, height, weight, clinical classification, level of hemoglobin、albumin and prealbumin,present treatment were recorded and patients＇ body weight index （BMI） was calculated and scored based on a table of nutrition risk evaluation. The data were analyzed using SPSS 17.0 software package. RESULTS： In 88 cases of patients with oral and maxillofacial cancer, 18 patients had malnutrition （BMI〈18.5 kg/m2）, accounting for 20.45%; 49 patients had nutrition risk （NRS2000≥3 points）, accounting for 55.68%. CONCLUSIONS： Patients with oral and maxillofacial cancer had high nutrition risk. The older the age, the higher the nutrition risk will be. Anemia, low albumin and low prealbumin will increase the incidence of nutrition risks.