一般营养状况评分在口腔颌面恶性肿瘤患者中的适用性。

Applicability of the general nutritional status score to patients with oral and maxillofacial malignancies.

作者信息

Guo C B, Ma D Q, Zhang K H

机构信息

School of Stomatology, Beijing Medical University, China.

出版信息

Int J Oral Maxillofac Surg. 1994 Jun;23(3):167-9. doi: 10.1016/s0901-5027(05)80294-2.

DOI:10.1016/s0901-5027(05)80294-2

PMID:7930772

Abstract

The general nutritional status (GNS) score was used to assess the nutritional status of 127 consecutive patients with oral and maxillofacial malignancies. Forty-six of our patients (36.2%) were undernourished (group 2), while 81 (63.8%) were in good nutritional condition (group 1). Comparison of nutritional laboratory tests between these two groups showed that the differences in serum albumin, transferrin, and creatinine-height index (CHI) had statistical significance, yielding an excellent correlation between the GNS score and the nutritional laboratory test. Undernourished patients had a significantly higher postoperative complication incidence (48.3%) than well-nourished patients (19.4%) (chi 2 = 6.637; P < 0.01), indicating that the GNS score can be used as a prognostic index.

摘要

采用一般营养状况（GNS）评分评估127例连续性口腔颌面部恶性肿瘤患者的营养状况。其中46例患者（36.2%）存在营养不良（第2组），81例（63.8%）营养状况良好（第1组）。两组间营养实验室检测结果比较显示，血清白蛋白、转铁蛋白及肌酐身高指数（CHI）差异具有统计学意义，GNS评分与营养实验室检测结果具有良好的相关性。营养不良患者术后并发症发生率（48.3%）显著高于营养良好患者（19.4%）（χ2 = 6.637；P < 0.01），表明GNS评分可作为一项预后指标。