Perioperative nutrition management in patients with spinal tuberculosis taking ERAS measures.

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS
Jiaojie Ma, Zhuo Li, Yang Chen, Yachao Zhang, Qian Wang, Guangxuan Yan, Weijie Dong, Shanshan Li
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Abstract

BACKGROUND AND OBJECTIVES To explore the effect of nutrition management under ERAS concept in patients with spinal tuberculosis. METHODS AND STUDY DESIGN The study was conducted in an orthopedic ward of a tertiary grade A special hospital in Beijing. The patients admitted from January 1, 2021 to June 27, 2023 were screened for inclusion. The qualified patients were randomized into experimental group or control group. The experimental group received perioperative nutrition management under the concept of ERAS while the control group received routine perioperative management in hospital. The data was collected on the next day of admission, the next day and the sixth day after operation, including laboratory indicators (lymphocyte count, hemoglobin level, etc), intraoperative bleeding volume, postoperative exhaust, defecation time, drainage volume, albumin infusion amount, nutritional risk score, length of stay, hospitalization costs, etc. Univariate analysis and multivariate analysis correcting for gender, age, and baseline values were performed using SPSS24.0. RESULTS A total of 127 patients with spinal tuberculosis completed the study. Compared with the control group, the intraoperative blood loss (p=0.028) in the experimental group was significantly reduced, the postoperative exhaust time (p=0.012) and defecation time (p=0.012) were significantly shortened, and the nutritional status (p<0.001) was significantly improved. Besides, the results of multivariate analysis are robust after correcting potential confounding factors. CONCLUSIONS Nutrition management under the concept of ERAS is helpful to reduce intraoperative bleeding, promote postoperative flatus and defecation, and improve nutritional status in patients with spinal tuberculosis, which may further improve their clinical outcome and prognosis.
采取 ERAS 措施的脊柱结核病人围手术期营养管理。
背景和目的探讨ERAS理念下营养管理对脊柱结核患者的影响。方法和研究设计该研究在北京一家三级甲等专科医院骨科病房进行。筛选 2021 年 1 月 1 日至 2023 年 6 月 27 日期间入院的患者。合格患者被随机分为实验组和对照组。实验组接受ERAS理念下的围手术期营养管理,对照组接受医院常规围手术期管理。收集入院次日、术后第二天和第六天的数据,包括实验室指标(淋巴细胞计数、血红蛋白水平等)、术中出血量、术后排气量、排便时间、引流量、白蛋白输注量、营养风险评分、住院时间、住院费用等。采用 SPSS24.0 进行了单变量分析和多变量分析,并对性别、年龄和基线值进行了校正。结果共有 127 例脊柱结核患者完成了研究。与对照组相比,实验组术中失血量(P=0.028)明显减少,术后排气时间(P=0.012)和排便时间(P=0.012)明显缩短,营养状况(P<0.001)明显改善。结论ERAS理念下的营养管理有助于减少脊柱结核患者术中出血、促进术后排气排便、改善营养状况,可进一步改善患者的临床疗效和预后。
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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
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