围术期优化型口服营养结合回授法膳食干预对老年骨质疏松性骨折术后患者免疫功能、营养指标的影响OA
Effect of Perioperative Optimized Oral Nutrition Combined with Feedback Dietary Intervention on Immune Function and Nutritional Indexes of Elderly Patients with Osteoporotic Fracture after Operation
目的:分析围术期优化型口服营养结合回授法膳食干预对老年骨质疏松性骨折术后患者免疫功能、营养指标的影响.方法:纳入本院收治的老年骨质疏松性骨折术后患者154例作为研究对象,纳入病例时间:2024年9月-2025年9月,分为A组、B组,各77例,分组方法:随机数字表法.A组采取常规干预,B组采取围术期优化型口服营养结合回授法膳食干预,两组均连续治疗7 d,并于治疗结束后进行观察28 d.比较两组营养风险、免疫功能、营养指标、骨代谢指标(治疗前、治疗7 d后),饮食依从性(观察28 d后).结果:治疗前到观察28 d后,两组营养风险评分均呈现逐渐降低趋势,B组低于A组(P<0.05).较治疗前,治疗7 d后两组血清IgG、IgM、IgA、Alb、PA、TF、Hb、BALP、BGP水平均升高,B组高于 A 组,血清 CTX-I 水平则均降低,B 组低于 A 组(P<0.05).观察 28 d 后,B 组饮食依从率(93.51％)高于A组(71.43％)(P<0.05).结论:围术期优化型口服营养结合回授法膳食干预可改善老年骨质疏松性骨折术后患者免疫功能、营养指标,帮助骨代谢指标恢复,降低其营养风险,提高患者的饮食依从性.
[Objective]To analyze the effect of perioperative optimized oral nutrition combined with feedback dietary intervention on immune function and nutritional indexes of elderly patients with osteoporotic fracture after operation.[Method]One hundred and fifty-four elderly patients with osteoporotic fracture after operation in our hospital were included as the research object.The time of inclusion was from September 2024 to September 2025,and they were divided into group A and group B,with 77 cases in each group.The grouping method was random number table method.Group A was given routine intervention,and group B was given perioperative optimized oral nutrition combined with feedback dietary intervention.Both groups were treated continuously for 7 d and observed for 28 d after treatment.The nutritional risk,immune function,nutritional index,bone metabolism index(before treatment and after treatment for 7 d)and dietary compliance(after observation for 28 d)were compared between the two groups.[Result]From pre-treatment to 28 d after observation,the nutritional risk scores of the two groups showed a decreasing trend,and the group B was lower than the group A(P<0.05).Compared with before treatment,the serum levels of IgG,IgM,IgA,Alb,PA,TF,Hb,BALP and BGP in both groups increased after 7 days of treatment,while the serum CTX-I level in group B was higher than that in group A,while that in group B was lower than that in group A(P<0.05).After 28 d of observation,the compli-ance rate of the group B(93.51％)was higher than that of the group A(71.43％)(P<0.05).[Conclusion]Perioperative optimized oral nutrition combined with feedback dietary intervention could improve the immune function and nutritional indexes of elderly patients with osteoporotic fracture after operation,help the recovery of bone metabolism indexes,reduce their nutritional risks and improve their dietary compliance.
王盼盼;谢东波;陈永洪;张鹏翼;顾兴科
宜宾市中西医结合医院骨伤科,四川 宜宾 644100宜宾市中西医结合医院骨伤科,四川 宜宾 644100宜宾市中西医结合医院骨伤科,四川 宜宾 644100宜宾市中西医结合医院骨伤科,四川 宜宾 644100宜宾市中西医结合医院骨伤科,四川 宜宾 644100
骨质疏松性骨折老年围术期优化型口服营养回授法膳食干预免疫功能营养指标
osteoporotic fractureold ageperioperative optimized oral nutritionfeedback dietary interventionimmune functionnutritional indices
《中国食物与营养》 2026 (9)
10-17,8
2023年全市卫生健康医学科研项目(项目编号:2023YW024).
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