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通过确定口腔黏膜细胞凋亡和增殖率的正常范围来评估临床患者的营养状况。

Assessment of nutritional status of clinical patients by determining normal range of oral mucosal apoptosis and proliferation rate.

作者信息

Gao Chun, Hasan Osaiweran, Wei Xin, Zou You, Yin Xiaoping, Tao Deding, Gong Jianping

机构信息

Department of Gastrointestinal Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

Department of General Surgery, Althawra Hospital, Taiz, Yemen.

出版信息

J Huazhong Univ Sci Technolog Med Sci. 2012 Oct;32(5):680-685. doi: 10.1007/s11596-012-1017-3. Epub 2012 Oct 18.

Abstract

The normal range of oral mucosal cell apoptosis and proliferation rate through a larger sample of non-malnourished crowd was investigated, and the nutritional status of clinical patients was assessed. Of 194 clinical patients selected according to "NRS2002" guidance, there were 167 non-malnourished patients and 27 malnourished cases, respectively. Twelve patients with toxic reactions of grade III after postoperative chemotherapy (POC) were chosen. The oral mucosal epithelial apoptosis and proliferation rate were measured by using flow cytometry. The statistical significance was processed by using unpaired t-test. The results showed that there was no significant difference in gender, age and body weight between malnourished and non-malnourished groups. The normal range of oral mucosal epithelial apoptosis and the proliferation rate was (27.50±1.50)% and (15.12±1.68)% in non-malnourished patients, and that was (19.90±4.14)% and (6.66±5.83)% in the malnourished patients, respectively. It is concluded that the normal range of oral mucosa cell apoptosis and proliferation rate is achieved, which can not be influenced by gender, age, weight and other factors, and could be used as a sensitive and accurate index to assess the nutritional status of clinical patients.

摘要

通过对大量非营养不良人群样本进行研究,确定口腔黏膜细胞凋亡和增殖率的正常范围,并评估临床患者的营养状况。根据“NRS2002”指南选取的194例临床患者中,非营养不良患者167例,营养不良患者27例。选取术后化疗(POC)后出现Ⅲ级毒性反应的12例患者。采用流式细胞术检测口腔黏膜上皮细胞凋亡和增殖率。采用非配对t检验进行统计学显著性处理。结果显示,营养不良组与非营养不良组在性别、年龄和体重方面无显著差异。非营养不良患者口腔黏膜上皮细胞凋亡和增殖率的正常范围分别为(27.50±1.50)%和(15.12±1.68)%,营养不良患者分别为(19.90±4.14)%和(6.66±5.83)%。结论:获得了口腔黏膜细胞凋亡和增殖率的正常范围,其不受性别、年龄、体重等因素影响,可作为评估临床患者营养状况的敏感且准确的指标。

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