Department of Oral and Maxillofacial Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan; Department of Cranio-Maxillofacial Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Department of Oral and Maxillofacial Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
J Craniomaxillofac Surg. 2021 Apr;49(4):292-297. doi: 10.1016/j.jcms.2021.01.023. Epub 2021 Feb 5.
The aim was to determine changes in various parameters indicating physical conditions and nutritional status of patients during surgical and conservative treatment of mandibular fractures. A round by a nutrition support team was done once postoperatively for the surgical treatment group. For the conservative treatment group, three rounds were performed during the period of intermaxillary fixation. Data obtained from the rounds were compared between the groups. There were 29 patients surgically and 30 patients conservatively treated. A significant weight loss was observed in both groups postoperatively. The mean weight loss of the surgical treatment group measured at the postoperative round was 1.73 kg (SD ± 1.78) (P < 0.001) and that of the conservative treatment group at the third round was 2.74 kg (SD ± 2.35) (P < 0.001). During the entire treatment period, weight loss, body fat percentage, skeletal muscle percentage, grip strength and parameters indicating body composition and nutritional status of the conservative treatment group did not substantially differ from those of the surgical group. The influence of the conservative procedure on the nutritional condition of the patients seems to be limited and reversible at the end of the treatment. The weight loss observed here suggests that systematic nutrition support is necessary during both surgical and conservative treatment.
目的是确定在手术和保守治疗下颌骨骨折过程中，患者身体状况和营养状况的各种参数变化。术后为手术组进行了一次营养支持小组的查房。对于保守治疗组，在颌间固定期间进行了三次查房。比较两组之间的查房数据。手术组有 29 例患者，保守治疗组有 30 例患者。两组患者术后均出现明显体重减轻。手术组术后查房时的平均体重减轻量为 1.73 公斤（SD ± 1.78）（P < 0.001），保守治疗组第三次查房时的体重减轻量为 2.74 公斤（SD ± 2.35）（P < 0.001）。在整个治疗期间，保守治疗组的体重减轻量、体脂肪百分比、骨骼肌百分比、握力以及身体成分和营养状况的参数与手术组没有显著差异。保守治疗对患者营养状况的影响在治疗结束时似乎是有限和可逆转的。这里观察到的体重减轻表明，在手术和保守治疗期间都需要系统的营养支持。
