营养不良与唇腭裂患儿术后并发症的相关性研究  

Correlation between malnutrition and postoperative complications in children with cleft lip and palate

作　　者：黄秀拉 赵树蕃 HUANG Xiula;ZHAO Shufan(Department of Maxillofacial Surgery,Affiliated Stomatological Hospital of Wenzhou Medical University,Zhejiang,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属口腔医院颌面外科,浙江温州325000

出　　处：《中国现代医生》2022年第25期48-51,共4页China Modern Doctor

摘　　要：目的评估营养不良与唇腭裂患儿术后并发症的相关性。方法回顾性分析温州医科大学附属口腔医院2014年2月至2021年6月收治的568例唇腭裂患儿的临床资料,根据术后是否发生创口裂开或瘘管,将其分为并发症组(56例)和无并发症组(512例)。收集患儿的相关临床资料,包括急性营养状况、慢性营养状况、性别、年龄、身高、体重、唇腭裂类型、手术时间、喂养方式、是否使用限制级抗生素、父母受教育程度等。采用多因素Logistic回归分析探讨唇腭裂患儿术后并发症的相关因素。结果单因素Logistic分析显示,性别、年龄、身高、体重与唇腭裂患儿术后并发症均无明显相关性(P>0.05),急性营养不良年龄别体重(weight-for-age,WFA)评分、慢性营养不良年龄别身高(height-for-age,HFA)评分、唇腭裂类型、手术时间、喂养方式、是否使用限制级抗生素、父母受教育程度与唇腭裂患儿术后并发症相关,具有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,急性营养不良WFA评分、慢性营养不良HFA评分、手术时间均与唇腭裂患儿术后并发症相关(P<0.05)。结论急性营养不良、慢性营养不良及手术时间均与唇腭裂患儿术后并发症相关。Objective To evaluate the correlation between malnutrition and postoperative complications in children with cleft lip and palate.Methods The clinical data of 568 children with cleft lip and palate admitted to Affiliated Stomatological Hospital of Wenzhou Medical University from February 2014 to June 2021 were analyzed retrospectively.According to whether there was wound dehiscence or fistula after operation,they were divided into complication group(56 cases)and non-complication group(512 cases).The clinical data were collected,including acute nutritional status,chronic nutritional status,sex,age,height,weight,type of cleft lip and palate,operation time,feeding method,antibiotic use or not,and education level of parents.Multivariate Logistic regression analysis was used to explore the related factors of postoperative complications in children with cleft lip and palate.Results Univariate Logistic analysis showed that there were no significant correlation between sex,age,height and weight and postoperative complications of children with cleft lip and palate(P>0.05),weight-for-age(WFA)score of acute malnutrition,height-for-age(HFA)score of chronic malnutrition,type of cleft lip and palate,operation time,feeding method,antibiotic use or not,education level of parents were correlated with postoperative complications of children with cleft lip and palate(P<0.05).Multivariate Logistic regression analysis showed that WFA score of acute malnutrition,HFA score of chronic malnutrition and operation time were all related to postoperative complications of children with cleft lip and palate(P<0.05).Conclusion Acute malnutrition,chronic malnutrition and operation time are all related to postoperative complications in children with cleft lip and palate.

关 键 词：唇腭裂 急性营养不良 慢性营养不良 手术时间 术后并发症 

分 类 号：R782[医药卫生—口腔医学]