口腔虚弱是胃切除术后体重减轻的危险因素:一个单中心的回顾性研究
Ryugo Teranishi1, Kazuyoshi Yamamoto2, Yukinori Kurokawa1
1Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2-E2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
International journal of clinical oncology
|October 24, 2023
概括
在胃癌手术前具有低功能牙单位 (FTU) 的患者在手术后经历了显著的体重减轻 (BWL). 通过口服干预措施提高能力可能有助于减轻胃切除术后的BWL.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 老年学是一门学科.
背景情况:
- 体重减轻 (BWL) 是胃切除术后胃癌 (GC) 患者的重要并发症.
- 仅靠营养干预措施就不足以预防BWL.
- 口腔虚弱,以减少能力为特征,在老年人中越来越受到关注.
研究的目的:
- 在胃癌患者的胃切除术后,研究按功能牙单位 (FTU) 测量的能力与体重减轻 (BWL) 之间的关系.
主要方法:
- 一项回顾性研究,涉及60名为GC进行远端胃切除术的患者.
- 使用功能牙单位 (FTU) 评估口能力;患者分为低FTU (<4) 和高FTU (≥4) 组.
- 在手术后1个月和3个月,低FTU组和高FTU组之间的%BWL比较.
主要成果:
- 与高FTU组相比,低FTU组在胃切除术后1个月和3个月表现出明显更高的%BWL (p=0.003和p=0.017).
- 在胃切除术后1个月和3个月,低FTU (<4) 被确定为单变量和多变量分析 (p=0.028和p=0.006) 中的BWL>5%的独立风险因素.
结论:
- 手术前的低功能牙单位 (FTU) 是胃癌手术后1个月和3个月显著体重减轻 (BWL) 的风险因素.
- 针对功能的口服干预可以改善经过胃切除术的患者的术后营养状况.
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