Effects of standardized perioperative nutritional management on enhanced recovery in elderly patients with hip fractures
Objective To investigate the effects of standardized perioperative nutritional management on the enhanced recov-ery of elderly patients with hip fractures and provide support for clinical decision-making.Methods Sixty elderly hip frac-ture patients meeting the inclusion criteria,who were admitted to our hospital from February 2021 to July 2022,were se-lected as study subjects.They were randomly assigned to an experimental group and a control group,with 30 patients in each group.The experimental group received standardized perioperative nutritional management,while the control group re-ceived routine postoperative dietary guidance.Length of hospital stay,postoperative complications,time to first ambula-tion,and serum albumin and prealbumin levels on admission,the first day after surgery,and the seventh day after surgery,as well as Barthel Index(BI)scores on the seventh day after surgery,were recorded as outcome indicators.Results The average length of hospital stay in the experimental group was significantly shorter than that in the control group[(14.64±0.98)d vs.(15.28±0.76)d;P＜0.05].The postoperative complication rate in the experimental group was significantly lower than that in the control group(13.3% vs.50.0%;P＜0.05).The time to first ambulation in the experimental group was significantly shorter than that in the control group[(3.66±0.99)d vs.(4.45±0.97)d;P＜0.05].Upon admission,no statistically significant differences were observed between the two groups in serum albumin and prealbumin levels(P＞0.05).On the first day after surgery,the prealbumin level in the experimental group was significantly higher than that in the control group(P＜0.05).On the seventh day after surgery,serum albumin and prealbumin levels in the experimental group were significantly higher than those in the control group(P＜0.05).The BI score on the seventh day after surgery in the experimental group was significantly higher than that in the control group(47.83±5.68 vs.42.17±5.20;P＜0.05).Conclusion Compared to routine postoperative dietary guidance,standardized perioperative nutritional management can shorten the average length of hospital stay and time to first ambulation for elderly patients with hip fractures,reduce the o-verall incidence of postoperative complications,strengthen postoperative nutritional status,and promote the patients'ability for self-care,making it worthy of clinical promotion.
Perioperative nutritionElderly hip fracturesEnhanced recovery
万方数据
维普
