Yao Jia-hui, Zhang Mei-fang, Zhang Hai-feng, Ma Bei-lei, Yin Qiu-ming, Tang Wen
Faculty of Nutrition, Shanghai Jiao Tong University, Shanghai 200240, China.
Shanghai Kou Qiang Yi Xue. 2011 Feb;20(1):101-5.
To screen the nutritional risk of patients with oral and maxillofacial cancers using NRS2002 and evaluate the clinical usefulness of NRS2002. Meanwhile, nutritional support was given after screening and the effect was evaluated.
Fifty-nine patients with oral and maxillofacial cancers were enrolled in this study. The medical history and the intake condition of all patients were recorded, body weight and height were measured.The serum hemoglobin (Hb), lymphocyte count (LC), albumin (Alb), pre-albumin (PA) of the patients were detected. According to the requirements of NRS2002, the patients were screened before and after surgery. The patients with nutritional risks were divided into experimental group and control group randomly. The blood biochemical parameters in the two groups were compared after nutritional intervention. The data was analyzed by student's t test and Chi-square test with SPSS11.5 software package.
Nutritional risk pre-operatively was 27.1% while the figure increased to 71.2% after operation (P < 0.05). Compared to pre-operation, nutritional risk increased significantly. Hb, LC, Alb and PA decreased significantly (P < 0.01). Before nutritional intervention,there was no difference of the biochemical stats between the patients in the experimental group and the control group (P > 0.05). After 7 days' treatment, the biochemical parameters except Hb and PA increased significantly in the control group. In the experimental group, LC, Alb and PA increased significantly (P < 0.05), especially Alb (P < 0.01), but Hb decreased. Compared with the control group, the NRS 2002 score decreased significantly in the experimental group after nutritional intervention.
NRS2002 can reflect the nutritional risk of the patients with oral and maxillofacial cancers conveniently and swiftly. Nutritional support after operation can significantly increase the nutritional status of the patients, reduce the infectious complications and improve the prognosis.
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