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正颌手术患者的营养状况:系统评价和荟萃分析。

Nutritional state of orthognathic surgery patients: A systematic review and meta-analysis.

机构信息

Oral and Maxillofacial Surgery Senior House Officer, AlKhobar, Saudi Arabia.

Associate Professor, College of Dentistry, Center of Medical and Bio-allied Health Sciences Research, Ajman University, Ajman, United Arab Emirates.

出版信息

J Stomatol Oral Maxillofac Surg. 2023 Dec;124(6 Suppl 2):101549. doi: 10.1016/j.jormas.2023.101549. Epub 2023 Jul 7.

DOI:10.1016/j.jormas.2023.101549
PMID:37422263
Abstract

PURPOSE

Is to systematically review the available evidence of the patient's nutritional state before and after orthognathic surgery METHODS: The protocol to the International Prospective Register of Systematic Reviews (PROSPERO; registration No. CRD42020177156).

RESULTS

The search strategy yielded a total of 43 articles from all databases. Of the 43 articles, 13 were excluded after an examination of the titles and abstracts, and full-text articles of the remaining 30 studies were reviewed independently for eligibility. Of these 30 studies, 23 were excluded because they did not meet the inclusion criteria. Finally, a total of 7 studies met the inclusion criteria and were processed for critical review CONCLUSION: Patient's body weight and body mass index (BMI) decreases after orthognathic surgery. No significant changes in body fat percentage were observed. The estimated blood loss and the need for blood transfusion increased. No significant changes were observed in hemoglobin levels, lymphocyte counts, total cholesterol levels, and cholinesterase levels between the pre-operative and postoperative periods. Increments in serum albumin levels and total protein counts were observed after orthognathic surgery.

摘要

目的

系统回顾正颌术前、后患者的营养状况。

方法

本研究方案已在国际前瞻性系统评价注册库(PROSPERO;注册号 CRD42020177156)中注册。

结果

通过对所有数据库的检索策略,共得到 43 篇文章。在对标题和摘要进行检查后,排除了 43 篇文章中的 13 篇,对其余 30 篇研究的全文进行了独立的评估,以确定其是否符合纳入标准。这 30 篇研究中有 23 篇因不符合纳入标准而被排除。最终,共有 7 项研究符合纳入标准,并进行了关键评估。

结论

正颌手术后患者体重和体重指数(BMI)下降,体脂百分比无明显变化。估计失血量和输血需求增加。血红蛋白水平、淋巴细胞计数、总胆固醇水平和胆碱酯酶水平在术前和术后期间无明显变化。正颌手术后血清白蛋白和总蛋白计数增加。

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