颌面部骨折患者术前营养风险发生率调查及口腔健康相关生活质量研究  

Preoperative nutritional risk prevalence survey and oral health-related quality of life in patients with maxillofacial fractures

作　　者：郑佳丽[1] 周文君 倪小君 李丽[4] 袁卫军[1] 侯黎莉 ZHENG Jiali;ZHOU Wenjun;NI Xiaojun;LI Li;YUAN Weijun;HOU Lili(Department of Nursing,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Oral and Craniomaxillofacial Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Nursing,Shanghai Mental Health Center,Shanghai,China)

机构地区：[1]上海交通大学医学院附属第九人民医院护理部,上海市200011 [2]上海交通大学医学院附属第九人民医院口腔颅颌面科,上海市200011 [3]上海交通大学医学院附属第九人民医院整复外科,上海市200011 [4]上海市精神卫生中心护理部,上海市201109

出　　处：《组织工程与重建外科》2023年第2期166-171,共6页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：上海交通大学医学院附属第九人民医院面上项目(编号:JYHL2019MS07);上海交通大学中国医院发展研究院(CHDI-2022-B-16)。

摘　　要：目的调查颌面部骨折患者术前营养风险发生率,比较有、无营养风险患者间一般资料及口腔健康相关生活质量的差异。方法采用方便抽样法,对符合纳入和排除标准的口腔颅颌面科住院患者于入院24 h内进行问卷调查,包括一般情况调查表、口腔健康相关生活质量调查表(OHIP-14)、营养风险筛查表(NRS-2002)。使用SPSS26.0软件统计分析颌面部骨折患者营养风险的发生率,有、无营养风险患者间一般资料及口腔健康相关生活质量的差异。结果本研究共发放调查问卷201份,回收有效问卷195份,有效问卷回收率为97.01%。颌面部骨折患者主要为男性(68.7%),已婚占69.7%,年龄集中在18~40岁(54.4%),文化程度高中及以下所占比例最高(74.9%),大多数患者无宗教信仰(94.4%),医疗费来源以自费为主(65.6%),家庭月收入中10000元以下的比例最高(56.4%)。入院诊断以颧骨颧弓骨折(45.1%)最高,其次是下颌骨骨折(32.8%)。颌面部骨折患者术前营养风险的发生率为32.8%(NRS-2002≥3分),体质量下降(1.86±2.62)kg,OHIP-14总分为(39.02±11.81)分。OHIP-14总分、功能限制纬度、生理性疼痛纬度、社交障碍纬度、残疾障碍纬度在两组间均具有统计学差异(P<0.05)。结论颌面部骨折患者术前营养风险的发生率较高,术前总体口腔健康相关生活质量较差。存在营养风险的患者口腔健康相关生活质量较无营养风险组的患者差。Objective To investigate the incidence of preoperative nutritional risk in patients with maxillofacial fractures,and to compare the differences in general information and oral health-related quality of life between the patients with and without nutritional risk.Methods Convenience sampling method was used to administer questionnaires to oral craniomaxillofacial inpatients who met the nadir criteria within 24 hours of admission.The questionnaires included general information,oral health-related quality of life questionnaire(OHIP-14),and nutritional risk screening score short form(NRS-2002).SPSS26.0 software was used to analyze the incidence of nutritional risk in patients with maxillofacial fractures and the differences in general information and oral health-related quality of life between the patients with or without nutritional risk.Results A total of 201 questionnaires were distributed at this stage,and 195 valid questionnaires were collected,with a valid recovery rate of 97.01%.Data analysis indicated that patients with maxillofacial fractures were mainly male(68.7%),married(69.7%),and aged between 18 and 40 years old(54.4%).The highest percentage of education level was 74.9%in high school and below.Most patients had no religious beliefs(94.4%).The source of medical expenses was mainly self-pay(65.6%).The highest percentage of monthly family income was below 10,000 yuan(56.4%).The most common admission diagnosis was zygomatic arch fracture(45.1%),followed by mandibular fracture(32.8%).The incidence of nutritional risk of maxillofacial fracture was 32.8%(NRS-2002≥3 points).The overall weight loss was(1.86±2.62)kg.The total OHIP-14 score was 39.02±11.81.The differences in total OHIP-14 score,functional limitation latitude,physiological pain latitude,social impairment latitude,and disability impairment latitude between the patients with or without nutritional risk were all statistically significant(P<0.05).Conclusion The prevalence of preoperative nutritional risk is higher and the overall preoperative oral h

关 键 词：颌面部骨折 营养风险 生活质量 

分 类 号：R782.4[医药卫生—口腔医学]