Influence on Nutritional Index and Prognosis of Perioperative Individualized Nutritional Intervention for Elderly Patients with Nutritional Risk after Posterior Lumbar Interbody Fusion
Influence on Nutritional Index and Prognosis of Perioperative Individualized Nutritional Intervention for Elderly Patients with Nutritional Risk after Posterior Lumbar Interbody Fusion
Objective To investigate the effect of perioperative individualized nutritional intervention on the changes of nu-tritional indicators and prognosis of elderly patients with nutritional risk after posterior lumbar interbody fusion.Methods From Janu-ary2018 to December 2019,atotalof181 elderly patients over 75 years old with posterior lumbar interbody fusion in Xuanwu Hospital Capital Medical University were included in this study.85 patients with ≥ 3 points of NRS2002 were included in the intervention group,and 96 patients with＜3 points of NRS2002 were included in the control group.The control group was given routine diet educa-tion,and the patients ordered meals according to their own dietary patterns and preferences.The intervention group was given further nutritional assessment and individualized nutritional treatment plan was developed.Nutritional indices(serum total protein,albumin,prealbumin and hemoglobin),potential risk factors for postoperative hypoproteinemia(whether diabetes mellitus,frailty,operative time and intraoperative blood loss)and postoperative infection were compared between the two groups.Results There were no signifi-cant differences in gender,course of disease,proportion of combined diabetes and frailty between the two groups(P＞0.05).The age of the intervention group was higher than that of the control group,the body mass index,intraoperative blood loss,preoperative serum total protein,albumin,prealbumin and hemoglobin levels were lower than those of the control group,and the operation time was shorter than that of the control group,with statistical significance(P＜0.05).The levels of serum total protein,albumin,pre-albumin and hemoglobin in both groups were decreased after operation,but the levels of all indexes in the intervention group were low-er than those in the control group,with statistical significance(P＜0.05).There was no significant difference in length of hospital stay and postoperative infection between the two groups(P＞0.05).Conclusion For elderly patients with nutritional risk,preoper-ative nutritional intervention can reduce the decline of postoperative nutritional indicators.
关键词
营养干预/腰椎后路椎间融合术/营养指标/术后感染/住院时间
Key words
Nutritional intervention/Posterior lumbar interbody fusion/Nutritional index/Postoperative infection/Length of hospital stay
维普
万方数据