颌骨骨折内固定术后两种饮食护理的效果观察

Effect of two kinds of diet nursing of jaw fracture patients after underwent internal fixation

[目的]探讨常规饮食护理与营养膳食护理对颌骨骨折钛板内固定术后病人营养状况的影响。[方法]将83例颌骨骨折切开复位微型钛板内固定术病人,按时间分为对照组和实验组,对照组实施常规饮食护理,实验组实施营养膳食并辅助康全饮肠内营养液,分别于术前1d及术后10d、2d测量空腹体重、三头肌皮脂厚度、上臂肌围、血浆蛋白、白蛋白、外周血淋巴细胞计数。[结果]实验组术后1d、20d体重、三头肌皮脂厚度、上臂肌围、血浆蛋白、白蛋白、外周血淋巴细胞计数下降均较对照组轻,差异有统计学意义(P<0.01)。[结论]对颌骨骨折切开复位微型钛板内固定术病人实施合理营养膳食护理,能有效改善病人术后营养状况。

Objective： To probe into the influence of routine diet nursing and nutritional diet nursing on nutritional state of jaw fracture patients after underwent internal fixation with titanium board. Methods： A total of 83 cases with jaw fracture after underwent open reduction and internal fixation with micro-titanium board was divided into control and test group based on admission time. Routine diet nursing was carried out in control group and nutritional diet combined with Kangquanyin enteral nutritional fluids as assistant was given for test group. Indexes including fasting weight, sebum thickness of triceps, upper arm circumference, plasma protein, albumin, and peripheral blood lymphocyte count were measured 1 day before operation, 10 days and 20 days after the operation respectively. Results： In terms of the descending of above mentioned indexes measured in test group 10 days and 20 days after operation were all less than that in control group. There were statistical significant differences between them （ P 〈 0.01 ）. Conclusion： Rational nutritional diet nursing carried out for postoperative jaw fracture patients underwent open reduction and internal fixation with micro- titanium board can improve nutritional state of them effectively.