基于微型营养评分法的干预措施对老年下肢骨折患者营养状况的影响研究  

Effect of Intervention Measures Based on Mini-Nutrition Assessment on the Nutritional Status of Elderly Patients with Lower Extremity Fractures

作　　者：于静[1] 褚兆珍[2] 柴利娟 乔国勇[2] 史计月[4] 刘利[3] YU Jing;CHU Zhaozhen;CHAI Lijuan;QIAO Guoyong;SHI Jiyue;LIU Li(Department of Vascular Surgery,Affiliated Hospital of Hebei Engineering University,Handan 056000,China;Department of Orthopedics,Affiliated Hospital of Hebei Engineering University,Handan 056000,China;Department of Orthopedics,Handan Central Hospital,Handan 056001,China;Department of Pain,Affiliated Hospital of Hebei Engineering University,Handan 056000,China)

机构地区：[1]河北工程大学附属医院血管外科,河北省邯郸市056000 [2]河北工程大学附属医院骨科,河北省邯郸市056000 [3]邯郸市中心医院骨科,河北省邯郸市056001 [4]河北工程大学附属医院疼痛科,河北省邯郸市056000

出　　处：《实用心脑肺血管病杂志》2022年第6期65-68,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：河北省卫生厅青年科技课题(20130053)。

摘　　要：目的探讨基于微型营养评分法(MNA)的干预措施对老年下肢骨折患者营养状况的影响。方法回顾性收集2019年4月至2021年4月河北工程大学附属医院收治的接受基于MNA的干预措施的老年下肢骨折患者43例为观察组,依据1∶1原则选择同期于本院接受常规护理方案的老年下肢骨折患者43例为对照组。对照组给予常规治疗及护理方案,观察组在对照组基础上给予基于MNA的干预措施。比较两组患者入院时和出院时的营养指标(前白蛋白、血红蛋白、转铁蛋白、白蛋白水平)、术后切口愈合情况(切口愈合时间、切口干燥时间及切口皮肤坏死情况)。结果入院时两组患者前白蛋白、血红蛋白、转铁蛋白、白蛋白水平比较,差异无统计学意义(P>0.05);出院时两组患者前白蛋白、血红蛋白、转铁蛋白、白蛋白水平分别高于本组入院时,且观察组高于对照组(P<0.05)。观察组患者术后切口愈合时间、切口干燥时间短于对照组,术后切口皮肤坏死所占比例低于对照组(P<0.05)。结论基于MNA的干预措施有利于老年下肢骨折患者营养状况的改善及切口的愈合。Objective To explore the effect of intervention measures based on Mini-Nutrition Assessment(MNA)on the nutritional status of elderly patients with lower extremity fractures.Methods Forty-three elderly patients with lower extremity fractures who received intervention measures based on MNA in Affiliated Hospital of Hebei Engineering University from April 2019 to April 2021 were retrospectively collected as the observation group,and 43 elderly patients with lower extremity fractures who received routine nursing program in the same hospital during the same period were selected as the control group according to the principle of 1∶1.The control group was given routine treatment and nursing programs,and the observation group was given MNA-based intervention measures on the basis of the control group.The nutritional indicators(levels of prealbumin,hemoglobin,transferrin,albumin)and postoperative wound healing(incision healing time,incision drying time,proportion of incision skin necrosis)were compared between the two groups of patients at admission and discharge.Results There was no significant difference in the levels of prealbumin,hemoglobin,transferrin and albumin between the two groups at admission(P>0.05).The levels of prealbumin,hemoglobin,transferrin and albumin in the two groups at discharge were higher than those at admission,respectively,and the levels of prealbumin,hemoglobin,transferrin and albumin in the observation group were higher than those in the control group(P<0.05).The postoperative incision healing time and incision drying time in the observation group were shorter than those in the control group,and the proportion of postoperative incision skin necrosis was lower than that in the control group(P<0.05).Conclusion Intervention measures based on MNA are beneficial to improving nutritional status and promoting wound healing in elderly patients with lower extremity fractures.

关 键 词：骨折 骨质疏松 营养不良 微型营养评分法 蛋白质 热量 

分 类 号：R683[医药卫生—骨科学]