2型糖尿病骨折患者营养状况及血糖水平对预后的影响

赵霞,张勍烨,周宏伟,江红

武警医学 ›› 2012, Vol. 23 ›› Issue (4) : 284-286.

PDF(511 KB)
PDF(511 KB)
武警医学 ›› 2012, Vol. 23 ›› Issue (4) : 284-286.
论著

2型糖尿病骨折患者营养状况及血糖水平对预后的影响

  • 赵霞,女,1963年出生。本科学历,主管营养师。主要从事临床营养研究。
作者信息 +

Analysis of different nutritional status of fracture with clinical outcomes in patients with type 2 diabetes

  • ZHAO Xia, ZHANG Qingye,ZHOU Hongwei, and JIANG Hong. Department of Nutrition, Beijing Jishuitan  Hospital. Beijing 100035, China
Author information +
文章历史 +

摘要

探讨骨折合并2型糖尿病患者术前营养状况指标对预后的影响。方法 123例接受手术治疗的2型糖尿病骨折患者按年龄分组后,对其术前血红蛋白、总蛋白、白蛋白、前白蛋白和淋巴细胞计数,以及总住院时间、术前准备时间、术后恢复时间、住院费用等指标进行分析。结果 中青年组的营养状况好于老年组;有营养风险的患者总住院时间及术前准备时间长于营养状况正常的患者;血糖控制良好者术前准备时间及术后并发症发生率低于控制不良者。结论 营养状况及血糖的控制情况关系到骨折合并2型糖尿病住院患者的预后,应采取个体化的营养支持,调整营养状态,以改善预后。

Abstract

Objective To investigate the effect of preoperative indicators of changes in nutritional status on the clinical outcome of cases of fracture with type 2 diabetes.  Methods A retrospective analysis was conducted of 123 cases of type 2 diabetes fracture who received surgical treatment to find out about their preoperative hemoglobin, total protein, albumin, prealbumin, and lymphocyte count, the total length of stay, preoperative hospitalization time, postoperative hospital stay and hospitalization costs.Results Nutritional status of the young was better than that of the elders. The total length of stay, preoperative hospitalization time of normal nutrition status patients were better than abnormal. There was no significant difference in postoperative complications. The preoperative hospitalization time and postoperative complications of normal glucose control patients were better than those of the abnormal.  Conclusion Nutrition is related to the prognosis of fracture type 2 diabetes patients. Therefore, it is necessary to pay more attention to the nutrition of senior patients with individualized nutritional supports in order to improve clinical outcomes.

关键词

2型糖尿病 / 骨折 / 营养支持

Key words

type 2 diabetes mellitus / fracture / nutrition

引用本文

导出引用
赵霞,张勍烨,周宏伟,江红. 2型糖尿病骨折患者营养状况及血糖水平对预后的影响[J]. 武警医学. 2012, 23(4): 284-286
Analysis of different nutritional status of fracture with clinical outcomes in patients with type 2 diabetes[J]. Medical Journal of the Chinese People Armed Police Forces. 2012, 23(4): 284-286
中图分类号: R151.42    R683   

参考文献

[1]  潘琦,郭立新.糖尿病与骨质疏松症[J].中国实用内科学杂志,2009,29(10):968-970.

 [2] Dobnig H, Piswanger-Slkner J C, Roth M, et al. Type 2 diabetes mellitus in nursing home patients:
effects on bone turnover, bone mass, and fracture risk[J]. J Clin Endocrinol Metab,2006,91(9):3355-3363.

 [3] 蔡东联.营养师必读[M].北京:人民军医出版社,2006:729-730.

 [4] 徐仁应.住院患者的营养评估[J].上海护理,2011,11(2):92-96. 

 [5] Devoto G, Gallo F, Marehello C, et al. Prealbumin serum levels as a useful Tool in the assessment of

malnutrition in hospitalized patients[J] .Clin Chem, 2006, 52 (21) : 2281-2285.
 [6] Gupta D, Lis C G, Granick J, et al. Malnutrition was associated with poor quality of life in


colorectal cancer: a retrospective analysis[J]. J Clin Epidemiol, 2006, 59(7): 704-709.
 [7] Elia M. Nutrition and health economics[J]. Nutrition, 2006, 22(5): 576-578.

PDF(511 KB)

Accesses

Citation

Detail

段落导航
相关文章

/