|
|
|
| Analysis of the factors leading to postoperative malnutrition in patients with oral cancer |
| 1Kuang Lixia,1Zhang Yu,1Wang Guangman,2Zhang Fangmin,1Yu Jingya,2Bi Xiaoqin |
| 1West China School of Nursing Sichuan University Department of Head and Neck Oncology West China Hospital of Stomatology
Sichuan University Chengdu 610041 Sichuan China
2
State Key Laboratory of Oral Diseases National Center for Stomatology
National Clinical Research Center for Oral Diseases Department of Head and Neck Oncology West China Hospital of Stomatology
Sichuan University Chengdu 610041 Sichuan China |
|
|
|
|
Abstract Objective To determine the factors that cause postoperative malnutrition in patients with oral cancer. Method A total
of 420 patients with good preoperative nutritional status who underwent oral cancer surgery in the Department of Head and Neck
Oncology at West China Hospital of Stomatology Sichuan University from August 2023 to May 2024 were selected through
convenience sampling and their information was collected. Nutritional assessment was performed adopting the Nutritional Risk
Screening 2002 NRS 2002 and Global Leadership Initiative on Malnutrition GLIM standards on the 7th day after the
operation. Logistic regression was used to analyze the factors leading to postoperative malnutrition in patients with oral cancer. Result
The prevalence of postoperative malnutrition in oral cancer patients was 50. 24%. Logistic regression analysis showed that male OR =
2. 575 95%CI = 1. 452- 4. 564 free flap transplantation OR = 2. 479 95% CI = 1. 158 - 5. 307 preoperative lymphocyte count
OR= 0. 223 95%CI = 0. 139-0. 359 and preoperative total cholesterol OR = 0. 762 95%CI = 0. 596-0. 975 were independent
influencing factors of postoperative malnutrition in oral cancer patients P< 0. 05 . Conclusion In the face of the high incidence of
postoperative malnutrition in patients with oral cancer nutrition support teams should conduct dynamic screening and assessment of
perioperative nutritional status of patients with oral cancer and provide targeted nutritional management to patients with high risk of
malnutrition so as to prevent and reduce the occurrence and development of postoperative malnutrition in oral cancer patients.
|
|
|
|
|
|
|
|
|
