口腔癌老年患者合并营养不良的危险因素及防治策略

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[Abstract]ObjectiveToinvestigatetheriskfactorsfor malnutritioninelderlypatientswithoralcancerandproposecorrespondingcontrolstrategies.Methods16OelderlypatientswithoralcanerwhoweretreatedatFirstPeople'sHospitalof ZigongCity fromJanuary2O19toDecember2O24wereselectedasstudysubjects.Patientdemographicswerecolectedviaquestionnaires（156 validquestioairesretued）andassesedusing theDysphagiaSale.TheNutritionalRiskScreening0O2（NRS2O2）wasusedto for grouping，102 patients with NRS scores <3 were assigned to the normal nutrition group，while 54 patients with NRS scores ⩾3 were assigned tothemalnutritiongroup.Comparisons weremadebetweenthe twogroupsforage，gender，smoking，alcoholconsumption， betelnutchewigduatioalant，aritalus，riarylsioiameterumoreumorsageyspagiat dality，andutritoalsupportetdFactorssowngstatisticallysignifitdiereesinivartealsisreincudedulti variatelogisticegressiontoexploreiskfactorsformalutritionielderlyoalcancerpatintsResultsUnivarateanalysissowed significant diferences insmoking，tumor stage，swallowing disorders，andnutritional support between thetwo groups（ P<0.05 ）. Multivariategisticgeionnalysissoedatsoing，swalowingdisodrsndutritionspportreidepedentskcto for malnutrition in elderly patients with oral cancer （ P<0.05） .Conclusion The occurrence of malnutrition in elderly patients with oralcancerisloselyrelatedtofctorssuchassmoking，swalowingdisoders，andutrionsupprtInterventionmeasurescanbedevelopedbasedonthesefactors topreventtheocurenceof malnutrion.Comprehensivecontrolstrategiessuchasnutritionsreening andassessment，dietinterventionoralcleansingandcare，andfunctionalexercisecanbeimplementedtoimprovethepatints’nutritional status and enhance the quality of life as well as therapeutic effect.

[ Key words] Oral cancer；Malnutrition； Control strategy

口腔癌是指上下牙龈、颊黏膜、舌和唇部等部位发生病理性增生的恶性疾病，多以口腔溃疡久治不愈、口腔异常不适及肿块等症状为临床典型表现，具有易复发、预后较差、五年生存率低的特点[1-3]。（剩余9653字）