营养状况综合评分法在口腔颌面恶性肿瘤患者的应用

本文采用营养状况综合评分法(GNS)对127例口腔颌面部恶性肿瘤患者进行了营养评价,结果36.2％(46/127)营养不良,63.8％(81/127)营养良好。比较这两个营养组病人的实验室营养指标值差异,发现白蛋白、运铁蛋白和肌酐身高指数差别有显著性(P<0.05),说明GNS与用于营养评价的实验室指标有良好的一致性。营养不良组病人术后并发症发生率(48.3％)显著高于良好组(19.4％)(X~2=6.637,P<0.01),提示GNS可用于估价口腔颌面恶性肿瘤的手术预后。

THE APPLICATION OF GENERAL NUTRITIONAL STATUS SCORE TO PATIENTS WITH ORAL AND MAXILLOFACIAL MALIGNANCIES

General Nutritional Status Score (GNS) was used to evaluate the nutritional status of 127 consecutive patients with oral and maxiilofacial malignancies. 36.2% of our patients had poor nutrition, 63.8% good. Comparing the differences of nutritional laboratory tests between these two group patients, it was found that the differences of serum albumin, transferrin and creatinine-height index (CHI) had statistical significance, which showed an excellent agreement between GNS and nutritional laboratory test. Malnourished patients had a significant higher postoperative complication rate (48.3%) than well-nourished patients (19.4%) (X~2=6.637, P<0.01), which indicated that GNS could be used as a prognostic index.