[1]叶会跃 黄旻 柳岩 戴美勇 吴云强 朱慧.早期肠内营养对老年髋部骨折术后恢复的影响[J].中国中医骨伤科杂志,2017,25(06):37-40.
　YE Huiyue HUANG Min LIU Yan DAI Meiyong WU Yunqiang ZHU Hui.Effect of Early Enteral Nutrition on Postoperative Recovery in Elderly Patients with Hip Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(06):37-40.
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早期肠内营养对老年髋部骨折术后恢复的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年06期
页码:
37-40
栏目:
临床研究
出版日期:
2017-07-08

文章信息/Info

Title:
Effect of Early Enteral Nutrition on Postoperative Recovery in Elderly Patients with Hip Fracture
文章编号:
1005-0205(2017)06-0037-04
作者:
叶会跃1 黄旻1 柳岩1 戴美勇1 吴云强1 朱慧1
1.浙江瑞安市中医院(浙江 温州,325200)
Author(s):
YE Huiyue1 HUANG Min1 LIU Yan1 DAI Meiyong1 WU Yunqiang1 ZHU Hui1
1.Ruian Hospital of Traditional Chinese Medicine,Wenzhou 325200,Zhejiang China.
关键词:
早期肠内营养;  老年髋部骨折患者;  术后恢复;  影响
Keywords:
early enteral nutrition;  elderly hip fracture patients;  postoperative recovery;  influence
分类号:
R683.42
文献标志码:
A
摘要:
目的:研究早期肠内营养对老年髋部骨折患者术后恢复的影响。方法:本院2014年1月至2015年12月住院接受治疗的年龄大于65岁的髋部骨折患者中,根据营养风险筛查,挑选出符合营养不良状况(NRS 评分≥3)的83例患者,将其随机分为对照组和观察组两个组别。对照组行髋部骨折术后正常饮食干预,不使用肠内营养支持治疗; 观察组在接受正常饮食干预治疗的基础上,自术后第1天开始给予肠内营养支持。观察指标:1)入院时、术后第1天和术后第7天两组患者血红蛋白、总蛋白、白蛋白、前清蛋白的差异; 2)术后切口液化、压疮、肺部感染、腹胀、深静脉血栓发生率; 3)康复效果。结果:1)术后第7天观察组血红蛋白、总蛋白、白蛋白、前清蛋白跟术后第1天比较均明显改善,差异有统计学意义(P<0.05)。而对照组术后第7天比术后第1天上述指标无明显改善,差异无统计学意义(P>0.05),且术后第7天观察组的上述四项指标明显好于对照组,差异有统计学意义(P<0.05); 2)观察组相比于对照组术后切口液化、压疮、肺部感染、腹胀、影响深静脉血栓发生率更低,差异有统计学意义(P<0.05); 3)术后第6个月时,观察组相比于对照组康复效果更高,差异有统计学意义(P<0.05)。结论:早期肠内营养对老年髋部骨折患者术后恢复的影响大,有助于减少术后切口液化、压疮、肺部感染等并发症的发生,提升康复效果,改善患者营养状况,值得推广。
Abstract:
Objective:To study the effect of early enteral nutrition on postoperative recovery in elderly hip fracture patients.Methods:According to the nutritional risk screening,83 cases in accordance with the status of malnutrition(NRS ≥ 3)were selected from the hip fracture patients treated in our hospital from January 2014 to December 2015.They were randomly divided into the control group and the observation group.The control group received normal diet intervention after surgery,and the observation group received enteral nutrition support on the basis of the normal diet from the first day.Observation items:1)The difference between the two groups in hemoglobin,total protein,albumin,prealbumin on admission,1 day and 7 days after operation.2)The incidence of incision liquefaction,pressure ulcers,pulmonary infection,abdominal distension and deep venous.3)The effect of rehabilitation.Results:1)In the observation group,the hemoglobin,total protein,albumin and prealbumin at 1 day after operation were significantly improved compared with those at day 7 after operation,the difference was statistically significant(P<0.05).However,there was no significant improvement in the above index at day 7 after operation compared with those at day 1 in the control group,and the difference was not statistically significant(P> 0.05).At the day 7 after operation,the above mentioned indexes of the observation group were significantly better than those of the control group,and there was significant difference(P<0.05).2)Compared with the control group,the incidences of incision liquefaction,pressure ulcer,pulmonary infection,abdominal distension and deep vein thrombosis was lower than those in the observation group,and there was significant difference in χ2 statistical treatment(P<0.05).3)The rehabilitation effect of the observation group was higher than that of the control group at the end of 6 months,and the difference was statistically significant(P<0.05).Conclusion:Early postoperative enteral nutrition in elderly patients with hip fracture is helpful to reduce the occurrence of postoperative complications such as liquefaction,pressure sores,pulmonary infection and so on,and can improve rehabilitation effect and the nutritional status of patients thus deserving popularization.

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更新日期/Last Update: 2017-06-15