Clinical Effect of Wenzhong Jianpi Formula Combined with Enteral Nutritional Powder(TP)in the Perioperative Period of Elderly Patients with Hip Replacement
Objective:To investigate the effect of Wenzhong Jianpi Formula combined with Enteral Nutritional Powder(TP)in the perioperative period of elderly patients with hip replacement.Method:A total of 100 elderly patients with hip replacement admitted to the Department of Orthopedics of Xiamen Traditional Chinese Medicine Hospital from January 2021 to August 2023 were selected.Fifty patients were randomly selected from the Second Department of Orthopedics to be included in the experimental group,and 50 patients from the Third Department of Orthopedics to be included in the control group.The experimental group was treated with Wenzhong Jianpi Formula combined with Enteral Nutrition Powder(TP)for gastrointestinal nutrition during perioperative period,while the control group was prohibited from drinking and fasting before operation and intermittent fasting and water abstinence after operation.The immune-related indexes,nutrition-related indexes,recovery process indexes(anal exhaust time,oral feeding time,getting out of bed time)and complication rate were compared between the two groups.Result:Before surgery,there were no significant differences in immune-related indexes and nutrition-related indexes between the two groups(P>0.05).At 3 d after surgery,IgA,IgM,IgG,prealbumin(PA),albumin(ALB),hemoglobin(Hb)in experimental group were higher than those in control group,the differences were statistically significant(P<0.05).The anal exhaust time,oral feeding time and getting out of bed time of experimental groups were earlier than those of control group,and the differences were statistically significant(P<0.05).The incidence of complications in experimental group was 2.00%,which was lower than 10.00%in control group,and the difference was statistically significant(P<0.05).Conclusion:During perioperative period,Wenzhong Jianpi Formula combined with Enteral Nutrition Powder(TP)can improve the body nutrition,improve the body's ability to respond to stress during surgery,improve immunity,promote postoperative rehabilitation and reduce complications in elderly patients with hip replacement.
Gastrointestinal nutritionElderly hip replacementPerioperative nutritionRapid recovery