裂口口腔手术中的营养不良:在南非一家三级儿童医院对术后囊形成的影响
Saleigh Adams1, Amber Mahieu2, Pien M Verreijdt2
1Division of Plastic, Reconstructive and Maxillo-Facial Surgery, University of Cape Town, Red Cross War Memorial Children's Hospital, Cape Town, ZA.
The Journal of craniofacial surgery
|December 11, 2024
概括
术后营养不良显著增加了裂口口腔手术后囊形成的风险. 这一发现凸显了营养状况对贫困儿童手术结果的重要性.
科学领域:
- 儿科外科手术 儿科外科手术
- 营养科学 营养科学
- 低收入和中等收入国家 (LMIC) 的公共卫生.
背景情况:
- 囊发育是裂口口腔手术的已知并发症.
- 营养不良通常会增加术后并发症,但其在LMIC患者口腔裂口修复后对囊形成的具体影响尚未得到充分研究.
研究的目的:
- 调查手术前营养不良和手术后囊形成的风险之间的关联,在南非接受裂手术的儿童.
主要方法:
- 对337名口腔裂口患者进行初始修复的回顾性审查.
- 使用世界卫生组织 (WHO) 体重对年龄 (WFA) Z-scores进行评估的营养不良.
- 纵向通用估计方程 (GEE) 分析,以确定WFA Z-分数对片发育的影响.
主要成果:
- 该队伍的WFA平均Z分数为-0.873.
- 21.9%的患者体重不足 (Z-Score < -2) 和8.8%的患者重度体重不足 (Z-Score < -3) 在外科手术期间.
- 观察到总体症状的发病率为19.9%;较低的WFA Z-score (恶化的营养不良) 显著预测了形成的几率增加 (OR=1.233,P=0.018).
结论:
- 术后营养不良的恶化显着与术后裂口腔手术后术后囊形成的风险增加有关.
- 营养状况是影响儿科口腔裂修复手术结果的关键因素,特别是在资源有限的环境中.
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