Evaluation of serum levels of systemic status in oral and maxillofacial surgery patients.
- Author:
Uk Kyu KIM
1
;
Yong Deok KIM
;
June Ho BYUN
;
Sang Hun SHIN
;
In Kyo CHUNG
Author Information
1. Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Pusan National University, Korea. kuksjs@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Hb;
MCV;
Albumin;
Cholesterol;
LDH;
AST;
ALT;
Neutrophil;
Platelet;
Leukocyte;
Na;
K;
Cl;
BUN;
Creatinine;
CRP;
ESR;
Correlations
- MeSH:
Abscess;
Blood Platelets;
Body Temperature;
Busan;
Cholesterol;
Creatinine;
Facial Bones;
Humans;
Leukocytes;
Mouth Neoplasms;
Neutrophils;
Nutritional Status;
Retrospective Studies;
Surgery, Oral*;
Vital Signs
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2003;29(5):301-314
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purposes of this retrospective study were to assess the change of serum parameters in oral and maxillofacial surgery patients after operation and to determine what laboratory parameters on treatment periods were associated with the recovery of systemic condition. For purposes of assessing systemic nutritional status, several serum parameters were chosen. The sample patients were randomsubjects extracted from three category patient groups- oral cancer, odontogenic abscess, facial bone fracture based on treated patients at department of oral and maxillofacial surgery in Pusan National University Hospital from September 1, 1998, to September 1, 2002. Each groups were consisted with 10 patients. Each patient chart was examined and blood sample parameters were reviewed with clinical signs, symptoms and vital sign at preoperative day, postoperative 1 day, postoperative 1 week. Several parameters were analyzed statistically for extraction of mean values and differences between the periods groups. The findings of serum parameters of cancer, abscess and fracture groups were as follows: 1. In cancer patients, Hb, MCV, albumin, cholesterol, LDH, AST, ALT, neutrophil, platelet, leukocyte, Na, K, Cl, BUN, creatinine were analyzed. Values of Hb, albumin, AST, neutrophil, leukocyte, Cl showed significantly differences according to periods. 2. In abscess patients, CRP, ESR, leukocyte, body temperature, neutrophil were analyzed. Values of CRP, leukocyte, body temperature, neutrophil showed significanlty differences according to periods. 3. In fracture patients, same arameters with cancer patient's were chosen. Values of platelet, Cl only showed significantly differences according to periods. 4. In cancer patients, data regarding correlation was analyzed statistically as Pearson's value. A positive correlation was found between Hb and albumin, K, Na(p<0.05). A positive correlation was also found between neutrophil and leukocyte(p<0.05). Positive correlations were found between cholesterol and ALT, LDH and platelet, creatinine both, Platelet and BUN, Na and K(p<0.01). 5. In abscess patients, Peason's correlation values were analyzed on parameters. A positive correlation was found only between CRP and neutrophil(p<0.05). 6. In fracture patients, The correlations of parameters also were statistically analyzed. Positive correlations were found between MCV and K, albumin and LDH, AST and three parameters of creatinine, Na, Cl, K and neutrophil, neutrophil and three parameters of leukocyte, BUN, K(p<0.05). Positive correlations were found between LDH and AST, ALT and AST, creatinine both(p<0.01). This retrospective clinical study showed the CRP levels only on abscess patients may be useful in determination of clinical infected status, but the levels of other parameters on cancer, fracture patients did not showed significant values as diagnostic aids for clinical status.
