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口腔和口咽癌患者的营养评估和生活质量评价。

Evaluation of Malnutrition and Quality of Life in Patients Treated for Oral and Oropharyngeal Cancer.

机构信息

Department of Oral Medicine and Radiology, Sibar Insitute of Dental Sciences, Takkelapadu, Guntur 522509, India.

Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.

出版信息

ScientificWorldJournal. 2021 Jul 31;2021:9936715. doi: 10.1155/2021/9936715. eCollection 2021.


DOI:10.1155/2021/9936715
PMID:34381320
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8352700/
Abstract

BACKGROUND: Oral and oropharyngeal cancer is a debilitating disease with high morbidity and mortality. Depending on the site and extent of the involvement of the cancer and the type of treatment modality, these patients can develop pain, trismus, xerostomia, dysphagia, and taste disturbances, compromising them socially and nutritionally. The aim of the study was to evaluate malnutrition and quality of life in patients treated for oral and oropharyngeal cancer. . A cross-sectional study was conducted which included 97 patients treated for oral and oropharyngeal cancer. The quality of life of the selected patients was assessed by using a validated European Organization for the Research and Treatment of Cancer's Quality of Life Questionnaire, Head and Neck and Mandibular Function Impairment Questionnaire. Pre- and posttreatment weight of the patients were assessed, and weight loss of ≥10% of pretreatment weight was considered as malnutrition. The chi-square test was used to correlate the symptoms with the quality of life. A paired test was used to assess the differences in weight before and after treatment, and a value of <0.005 was considered as significant. RESULTS: The most commonly reported symptoms were xerostomia (93.81%), pain (81.44%), and dysphagia (76.3%). A total of 40.2% of the individuals in the study had malnutrition. Malnutrition was comparatively lower in the group who had nutritional supplements. CONCLUSION: The quality of life in patients treated for oral and oropharyngeal cancer deteriorates immediately after the treatment; however, it significantly improves over time.

摘要

背景:口腔和口咽癌是一种使人衰弱的疾病,具有较高的发病率和死亡率。根据癌症的部位和累及范围以及治疗方式的不同,这些患者可能会出现疼痛、牙关紧闭、口干、吞咽困难和味觉障碍,从而影响其社交和营养状况。本研究旨在评估接受口腔和口咽癌治疗的患者的营养不良和生活质量。这是一项横断面研究,共纳入 97 例接受口腔和口咽癌治疗的患者。采用欧洲癌症研究与治疗组织生活质量问卷(EORTC QLQ-C30)和头颈部功能障碍问卷(MDASI)评估选定患者的生活质量。评估了患者治疗前后的体重,将治疗前体重减轻≥10%定义为营养不良。采用卡方检验分析症状与生活质量的相关性。采用配对 t 检验评估治疗前后体重的差异,P 值<0.005 被认为具有统计学意义。

结果:最常见的报告症状为口干(93.81%)、疼痛(81.44%)和吞咽困难(76.3%)。研究中共有 40.2%的个体存在营养不良。有营养补充的患者中,营养不良的比例相对较低。

结论:接受口腔和口咽癌治疗的患者的生活质量在治疗后立即恶化,但随着时间的推移会显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67a/8352700/e993a3179104/TSWJ2021-9936715.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67a/8352700/e993a3179104/TSWJ2021-9936715.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67a/8352700/e993a3179104/TSWJ2021-9936715.001.jpg

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[5]
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[8]
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Malnutrition in patients treated for oral or oropharyngeal cancer--prevalence and relationship with oral symptoms: an explorative study.

Support Care Cancer. 2010-9-16

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