THE EFFECT OF INTERMAXILLARY FIXATION ON LEUKOCYTE ZINC, SERUM TRACE-ELEMENTS AND NUTRITIONAL-STATUS OF PATIENTS UNDERGOING MAXILLOFACIAL SURGERY

被引:8
作者
ANTILA, H
SALO, M
NANTO, V
FORSSELL, K
SALONEN, M
KIRVELA, O
机构
[1] Department of Anaesthesiology, University of Turku, SF-20520 Turku
[2] Department of Clinical Chemistry and Joint Clinical Chemistry Laboratory of the University of Turku, Turku University Central Hospital and Wallac Inc, Turku
[3] Clinic of Oral Surgery, Turku University Central Hospital, SF-20520 Turku
关键词
D O I
10.1016/0261-5614(93)90019-Z
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Mononuclear cell (MNC), polymorphonuclear cell (PMNC) and serum zinc levels were studied in 17 oral surgical patients with intermaxillary fixation. Serum copper, iron, selenium and bromide concentrations were also measured together with common indices of nutritional status. Nine patients received nutritional counselling. Eight patients had, in addition, oral supplementation with a commercial formula. No changes in intracellular or serum zinc levels were seen during the study period. A statistically significant decrease was seen in mean body weight with subsequent changes in anthropometry. Maximal mean weight loss was 6.0 +/- 3.8% in control group and 3.8 +/- 2.7% in supplemental group. The impaired oral intake due to intermaxillary fixation does not interfere significantly with zinc status as estimated by MNC, PMNC or serum zinc levels. The reduction in body weight and anthropometric indices in the relatively short fixation period may be clinically significant in some patients. Supplementation with a commercial formula helps to maintain the nutritional status of these patients.
引用
收藏
页码:223 / 229
页数:7
相关论文
共 20 条
[1]  
Kendell, Fonseca, Lee, Postoperative nutritional supplementation for the ortognathic surgery patient, J Oral Maxillofac Surg, 40, pp. 205-213, (1982)
[2]  
Harju, Pernu, Weight changes after jaw fixation due to sagittal split ramus osteotomy for correction of prognathous, Resuscitation, 12, pp. 187-191, (1984)
[3]  
Astrand, Bergljung, Nord, Oblique sliding osteotomy of the mandibular rami in 55 patients with mandibular prognathism, International Journal of Oral Surgery, 2, pp. 89-101, (1973)
[4]  
Groundwater, MacLeod, The effect of systemic zinc supplement on the strength of healing incised wounds in normal rats, Br J Surg, 57, pp. 222-225, (1970)
[5]  
Greaves, Skillen, Effects of long-continued ingestion of zinc sulphate in patients with venous leg ulcers, Lancet, 2, pp. 889-891, (1970)
[6]  
Senapati, Slavin, Thompson, Zinc depletion and complications of surgery, Clin Nutr, 9, pp. 341-346, (1990)
[7]  
Castillo-Duran, Heresi, Fisberg, Uauy, Controlled trial of zinc supplementation during recovery from malnutrition: effects of growth and immune function, Am J Clin Nutr, 45, pp. 602-608, (1987)
[8]  
Bogden, Oleske, Munves, Et al., Zinc and immunocompetence in the elderly: baseline data on zinc nutriture and immunity in unsupplemented subjects, Am J Clin Nutr, 46, pp. 101-109, (1987)
[9]  
Mullen, Buzby, Matthews, Smale, Rosato, Reduction of operative morbidity and mortality by combined preoperative and postoperative nutritional support, Ann Surg, 192, pp. 604-613, (1980)
[10]  
Stein, Levine, Human macronutrient requirements, Clinical Nutrition, pp. 73-83, (1984)