个体化营养支持改善老年髋部骨折患者术后低蛋白血症的效果  

Effects of individualized nutritional support to hypoalbuminemia of elderly hip fracture patients after hipreplacement

作　　者：杨宇恒[1] 胡三莲[2] 

机构地区：[1]上海交通大学附属第六人民医院急诊医学科,200233 [2]上海交通大学附属第六人民医院护理部,200233

出　　处：《中华现代护理杂志》2016年第24期3468-3471,共4页Chinese Journal of Modern Nursing

基　　金：上海市护理学会科研课题（2014M5-B10）

摘　　要：目的：探讨个体化营养支持对老年髋部骨折患者人工髋关节置换术后低蛋白血症的影响。方法将2014年2月—2015年5月行髋部骨折手术的100例老年患者随机分成对照组和干预组，各50例。对照组实施常规护理，干预组在常规护理的基础上接受个体化营养支持，比较两组患者术后第1天及第3天血浆白蛋白水平、术后伤口愈合、功能锻炼开始时间、下床时间和住院时间。结果干预组患者术后白蛋白水平，第1天（33.23±2.12）g/L，第3天（30.05±3.28）g/L，均高于对照组，两组比较差异有统计学意义（t值分别为－5.82，－6.74；P〈0.01）。对照组患者伤口甲级愈合的比例为64.0％，干预组为76.0％，两组比较差异无统计学意义（χ2＝1.507，P＝0.220）。干预组患者功能锻炼开始时间、下床时间和住院时间均短于对照组，差异有统计学意义（P〈0.01）。结论个体化营养支持可以有效改善老年髋部骨折患者人工髋关节置换术后低蛋白血症情况，促进伤口愈合，促使患者主动进行功能锻炼，患者首次下床时间提早，住院天数缩短。Objective To investigate the effect of the individualized nutritional support to hypoalbuminemia of elderly hip fracture patients after hip replacement.Methods A total of 100 elderly patients with hip replacement from February 2014 to May 2015 were included and divided into two groups randomly：control group （50 cases） and intervention group （50 cases）. Patients in control group received routine care while patients in intervention group received individualized nutritional support in addition to the routine care. The serum albumin levels at 1st day and 3rd day, wound healing after surgery,start time of functional exercises, bed time and hospitalization days were analyzed and compared between two groups. Results The serum albumin levels at 1st day[（33.23±2.12）g/L] and 3rd day[（30.05±3.28）g/L] in intervention group were higher than those in control group, the differences were statistically significant （t=-5.82, -6.74; P〈0.01）. The first wound healing rate in intervention group （76.0%） was better than the rate in control group （64.0%）, but the difference was not statistically significant （χ2=1.507,P=0.220）. The start time of functional exercises, bed time and hospitalization days were shorter than those in control group, the differences were statistically significant （P〈0.01）.Conclusions Individualized nutrition support can effectively improve hypoalbuminemia in elderly hip fracture patients after hip replacement, improve postoperative wound healing, and encourage patients with functional exercise,shorten the time patients get out of bed for the first time and the hospital stay.

关 键 词：营养支持 老年患者 髋部骨折 白蛋白 伤口愈合 

分 类 号：R473.6[医药卫生—护理学]