握力用于口腔颌面部患者营养状况评价及术后并发症的预测

Hand grip strength as a nutritional indicator of patients with oral and maxillofacial malignancies to predict post-operative complications

作者分析了１２７例口腔颌面部恶性肿瘤患者握力与上臂肌围（ＡＭＣ）及肌酐身高指数（ＣＨＩ）的关系，并对其估计术后并发症能力进行了初步的探讨。结果：（１）握力与ＷＣ及ＣＨＩ关系密切，说明握力可作为营养指标用于反映骨骼肌盈亏程度；（２）将握力小于正常对照值８５％的手术治疗患者与握力大于或等于正常对照值８５％的手术治疗患者进行比较，发现前者术后并发症发生率（４８．４％）显著高于后组（１８．５％）（Ｘ２＝９．３０；Ｐ＜０．００５），提示：握力可作为营养指标用于推测术后并发症发生情况。

The correlation between hand grip strength(HGS),arm muscle circumference(AMC)and creatinine-height index (CHI)were studied in 127 patients with oral and maxillofacial malignancies.Prediction of postoperative complications by using HGS was also attempted in the patients undergoing surgical treatment.The results showed:(1)HGS correlated well with AMC and CHI,indicating that HGS can be used as a nutritional parameter to reflect the skeletal muscle condition(depletion or repletion);(2) comparison of the operative patients whose HGS <85% of the standard value(Group Ⅰ)with those whose HGS≥85% of the standard value(Group Ⅱ)demonstrated that Group I had a much higher incidence of postperative complication(48. 4%)than that of Group Ⅱ(18.5 %)(X=9.30;P<0.0051,which means that HGS can be served as a nutritional prognostic indicator to predict postoperative complications.