老年髋部骨折患者围术期营养护理管理专家共识(2023版)  

Expert consensus on perioperative nursing management of nutrition for elderly patients with hip fractures(version 2023)

作　　者：邓春花[1] 陈小华 尹芝华 姜耀[4] 谭晓菊[5] 陈亚萍[6] 丁俊琴[7] 樊落 冯乐玲[9] 甘玉云[10] 高小雁[4] 郭锦丽[11] 胡靖[12] 黄陈 黄桂玲[13] 黄天雯[14] 黄迎春 金晖[1] 金艳 李方方 李辉[18] 刘辉 刘萍[5] 宁宁[20] 史凌云[21] 宋国敏[22] 孙雅妮[23] 王广玲[24] 王洁[25] 王琦[26] 王霞[27] 王晓云[28] 王谊[29] 吴松梅[30] 杨剑 张玉梅 周阳[32] 王晓燕[1] 高远[33] 中华护理学会骨科护理专业委员会 Deng Chunhua;Chen Xiaohua;Yin Zhihua;Jiang Yao;Tan Xiaoju;Chen Yaping;Ding Junqin;Fan Luo;Feng Leling;Gan Yuyun;Gao Xiaoyan;Guo Jinli;Hu Jing;Huang Chen;Huang Guiling;Huang Tianwen;Huang Yingchun;Jin Hui;Jin Yan;Li Fangfang;Li Hui;Liu Hui;Liu Ping;Ning Ning;Shi Lingyun;Song Guomin;Sun Yani;Wang Guangling;Wang Jie;Wang Qi;Wang Xia;Wang Xiaoyun;Wang Yi;Wu Songmei;Yang Jian;Zhang Yumei;Zhou Yang;Wang Xiaoyan;Gao Yuan;Orthopedic Nursing Professional Committee of Chinese Nursing Association(Zhongda Hospital,Southeast University,Nanjing 210009,China;Chongqing General Hospital,Chongqing 401147,China;Third Affiliated Hospital of Chongqing Medical University,Chongqing 401120,China;Beijing Jishuitan Hospital,Beijing 100035,China;Second Xiangya Hospital of Central South University,Changsha 410011,China;Peking Union Medical College Hospital,Beijing 100730,China;Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;First Hospital of Lanzhou University,Lanzhou 730013,China;Sixth Hospital of Ningbo,Ningbo 315040,China;First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Second Hospital of Shanxi Medical University,Taiyuan 030001,China;Honghui Hospital,Xi′an Jiaotong University,Xi′an 710054,China;Zhongnan Hospital of Wuhan University,Wuhan 430071,China;First Affiliated Hospital of Sun Yat‑Sen University,Guangzhou 510080,China;General Hospital of Eastern Theater Command,Nanjing 210002,China;Yan′an Hospital of Kunming,Kunming 650051,China;Henan Provincial People′s Hospital,Zhengzhou 450003,China;Second Affiliated Hospital of Harbin Medical University,Harbin 150001,China;Yangpu Hospital Affiliated to Tongji University,Shanghai 200090,China;West China Hospital,Sichuan University,Chengdu 610041,China;First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;Tianjin Hospital,Tianjin 300211,China;Sixth People′s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200233,China;First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Sooch

机构地区：[1]东南大学附属中大医院,南京210009 [2]重庆市人民医院,重庆401147 [3]重庆医科大学附属第三医院,重庆401120 [4]北京积水潭医院,北京100035 [5]中南大学湘雅二医院,长沙410011 [6]北京协和医院,北京100730 [7]河北医科大学第三医院,石家庄050051 [8]兰州大学第一医院,兰州730013 [9]宁波市第六医院,宁波315040 [10]安徽医科大学第一附属医院,合肥230022 [11]山西医科大学第二医院,太原030001 [12]西安交通大学附属红会医院,西安710054 [13]武汉大学中南医院,武汉430071 [14]中山大学附属第一医院,广州510080 [15]解放军东部战区总医院,南京210002 [16]昆明市延安医院,昆明650051 [17]河南省人民医院,郑州450003 [18]哈尔滨医科大学附属第二医院,哈尔滨150001 [19]同济大学附属杨浦医院,上海200090 [20]四川大学华西医院,成都610041 [21]新疆医科大学第一附属医院,乌鲁木齐830054 [22]天津市天津医院,天津300211 [23]上海交通大学医学院附属第六人民医院,上海200233 [24]南京医科大学第一附属医院,南京210029 [25]苏州大学医学中心(苏州大学附属独墅湖医院),苏州215100 [26]广西医科大学第一附属医院,南宁530021 [27]山东大学齐鲁医院,济南250012 [28]山东大学第二医院,济南250033 [29]温州医科大学附属第二医院,温州325026 [30]河南省洛阳正骨医院,洛阳471002 [31]陆军军医大学附属第二医院,重庆400037 [32]中南大学湘雅医院,长沙410008 [33]中国人民解放军总医院,北京100853 [34]不详

出　　处：《中华创伤杂志》2023年第5期394-403,共10页Chinese Journal of Trauma

摘　　要：髋部骨折是老年人最常见的骨折之一,是老年人致残、致死的重要原因。手术治疗是髋部骨折主要的治疗手段。老年人常合并基础疾病、基础代谢率下降、骨折后蛋白质分解加速、合成代谢减弱,加上手术应激等原因导致围术期营养不良发生率增加。营养不良不仅会增加老年髋部骨折患者术后并发症的发生,还会导致其病死率升高。因此,老年髋部骨折患者围术期营养管理十分重要。目前,老年髋部骨折围术期营养护理管理尚缺乏科学指导和应用规范,为此,中华护理学会骨科护理专业委员会和《中华创伤杂志》编辑委员会组织相关专家,基于循证医学证据和专家临床经验制订《老年髋部骨折患者围术期营养护理管理专家共识(2023版)》,从营养筛查、营养评估、营养诊断、营养干预、营养监测等方面提出14条推荐意见,为老年髋部骨折患者围术期营养护理管理提供指导方案。Hip fractures are among the most common fractures in the elderly,presenting to be a leading cause of disability and mortality.Surgical treatment is currently the main treatment method for hip fractures.The incidence of perioperative malnutrition is increased after hip fractures in the elderly due to the comorbidities,decreased basal metabolic rate,accelerated protein breakdown,weakened anabolism and surgical stress.However,malnutrition not only increases the incidence of postoperative complications,but also leads to increased mortality,indicating an important role of perioperative nursing management of nutrition for the elderly patients with hip fractures.At present,there still lacks scientific guidance and application standards on perioperative nursing management of nutrition for the elderly patients with hip fractures.Therefore,the Orthopedic Nursing Committee of Chinese Nursing Association and the Editorial Board of Chinese Journal of Trauma organized relevant experts to formulate the Expert consensus on perioperative nursing management of nutrition for elderly patients with hip fractures(version 2023)according to evidence⁃based medical evidences and their clinical experiences.Fourteen recommendations were made from aspects of nutrition screening,nutrition assessment,nutrition diagnosis,nutrition intervention and nutrition monitoring to provide guidance for perioperative nursing management of nutrition in elderly patients with hip fractures.

关 键 词：老年人 髋骨折 营养支持 围手术期 共识 

分 类 号：R473.6[医药卫生—护理学]