医护一体化营养管理在骨科糖尿病患者围手术期的应用

Nutritional administration of integration of medical care for patients with diabetes under orthopedic operation during perioperative period

目的 探讨医护一体化营养管理在骨科糖尿病患者围手术期的应用。方法 运用医护一体化模式对78例糖尿病合并骨折患者进行系统评估,制定个性化营养管理策略,包括健康教育、控制血糖、运动处方、纠正和预防营养不足以及预防并发症等。结果 78例患者均安全度过围手术期,76例切口愈合良好,2例切口延期5~9天愈合,无营养治疗并发症发生。结论 骨科糖尿病患者围手术期通过医护一体化的营养管理,可更好地控制血糖,改善营养状况,增强抵抗力,降低并发症的发生,促进患者恢复。

Objective To research the effects of nutritional administration of integration of medical care for patients with diabetes under orthopedic operation during perioperation. Methods Under integration of medical care, 78 patients with fracture combined with diabetes were included in the study after systematic evaluation. Individual nutritional treatment was done which concerned with education of nutritional knowledge, blood glucose control, exercise prescription, correction of excess nutrient, prevention of inanition and complications. Results All patients recovered, with wound healing well in 76 cases and postponed 2 cases, and no nutritional complication. Conclusion In our study, the patients with diabetes under orthopedic operation recovered smoothly under nutritional administration of integration of medical care, which could control blood glucose, improve nutritional condition, enhance resistibility, and avoid complication for these patients.