中华灾害救援医学2024,Vol.11Issue(10) :1210-1213.DOI:10.13919/j.issn.2095-6274.ZHJY202408027

营养支持联合快速康复干预对老年髋部骨折患者的影响

Effect of Nutritional Support Combined with Rapid Recovery Intervention in Elderly Patients with Hip Fracture

彭小英 周斌 祝晓珍
中华灾害救援医学2024,Vol.11Issue(10) :1210-1213.DOI:10.13919/j.issn.2095-6274.ZHJY202408027

营养支持联合快速康复干预对老年髋部骨折患者的影响

Effect of Nutritional Support Combined with Rapid Recovery Intervention in Elderly Patients with Hip Fracture

彭小英 1周斌 1祝晓珍1
扫码查看

作者信息

  • 1. 350001 福建福州,福建省老年医院骨科
  • 折叠

摘要

目的 探析营养支持联合快速康复干预对老年髋部骨折患者的影响.方法 选择2022年2月至2024年2月福建省老年医院收治的76例老年髋部骨折患者,根据抽签法随机将其分为观察组(营养支持+快速康复干预,n=38)和对照组(营养支持+常规护理干预,n=38).分别对两组患者的营养状况、髋关节功能、围术期指标和住院情况进行比较.结果 干预前,两组患者ALB和HGB均无显著差异(P>0.05);干预后,两组患者ALB和HGB均显著升高(P<0.001),且和对照组相比,观察组ALB和HGB升高水平更显著(P<0.001).干预前,两组患者Harris评分无显著差异(P>0.05);干预后,两组患者Harris评分均显著升高(P<0.001),且和对照组相比,观察组Harris评分升高水平更显著(P<0.001).观察组的术中出血量和术后引流量均显著少于对照组(P<0.001).观察组的平均住院时间显著短于对照组(P<0.001);两组患者平均住院费用无显著差异(P>0.05).结论 营养支持联合快速康复干预相对于营养支持联合常规干预更有利于老年髋部骨折患者营养状况的改善、髋关节功能的恢复,术中出血量和术后引流量的减少,缩短平均住院时间.

Abstract

Objective To investigate the impact of nutritional support combined with fast-track rehabili-tation interventions on elderly patients with hip fractures. Methods A total of 76 elderly hip fracture patients admitted to Fujian Provincial Geriatric Hospital from February 2022 to February 2024 were selected and randomly divided into an observation group (nutritional support+fast-track rehabilitation intervention,n=38) and a con-trol group (nutritional support+conventional care intervention,n=38) by a random draw method. The nutritional status,hip joint function,perioperative indicators,and hospitalization conditions were compared between the two groups. Results Before the intervention,there were no significant differences in albumin (ALB) and hemoglobin (HGB) between the two groups (P>0.05). After the intervention,both ALB and HGB levels significantly increased in both groups (P<0.001),with the observation group showing a more significant increase compared to the control group (P<0.001). Similarly,there were no significant differences in Harris scores between the two groups before the intervention (P>0.05). After the intervention,Harris scores significantly improved in both groups (P<0.001),with the observation group showing a more significant improvement compared to the control group (P<0.001). The intraoperative blood loss and postoperative drainage volume were significantly lower in the observation group than in the control group (P<0.001). The average hospital stay was significantly shorter in the observation group than in the control group (P<0.001),while there was no significant difference in average hospital costs between the two groups (P>0.05). Conclusion Nutritional support combined with fast-track rehabilitation interventions is more beneficial than nutritional support combined with conventional care interventions in improving the nutritional status and hip joint function of elderly hip fracture patients,reducing intraoperative blood loss and postoperative drainage volume,and shortening the average hospital stay.

关键词

营养疗法/康复/髋骨折

Key words

nutrition therapy/rehabilitation/hip fracture

引用本文复制引用

出版年

2024
中华灾害救援医学

中华灾害救援医学

影响因子:0.796
ISSN:
段落导航相关论文