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预后营养指数在老年胸腰椎骨折患者个体精准化肠内营养中的应用
Application of Prognostic Nutritional Index in Individualized Precise Enteral Nutrition in Elderly Patients with Thoracolumbar Fractures

陈旭,孙玉娟.预后营养指数在老年胸腰椎骨折患者个体精准化肠内营养中的应用[J].中国烧伤创疡杂志,2025,(1):58~61.

DOI：

英文关键词:Prognostic nutritional index Precision Individualization Enteral nutrition Elderly Thoracolumbar fracture

基金项目:

作者	单位
陈旭	450000 河南郑州, 郑州市骨科医院脊柱骨科
孙玉娟

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中文摘要:

【摘要】目的分析预后营养指数 (PNI) 在老年胸腰椎骨折患者个体精准化肠内营养中的应用效果。方法选取 2023 年 1 月至 2023 年 12 月郑州市骨科医院收治的 100 例老年胸腰椎骨折患者作为研究对象, 按照随机数表法将其随机分为研究组 (50 例) 与对照组 (50 例), 研究组患者行基于 PNI 的个体精准化肠内营养, 对照组患者行基于营养风险筛查 (NRS) -2002 的精准化肠内营养, 对比观察两组患者白蛋白 (ALB)、前白蛋白(PAB)、转铁蛋白 (TRF) 水平以及恶心呕吐、腹泻、腹胀等胃肠道并发症发生情况。结果术后第 6 天, 研究组患者 ALB、PAB、TRF 水平均明显高于对照组 ( t = 4.532、2.716、2.257, P<0.001、P = 0.008、P = 0.026);研究组患者术后恶心呕吐、腹泻、腹胀发生情况与对照组无明显差异 ( χ2 = 1.042、0.543、1.099, P = 0.307?0.461、0.295)。结论以 PNI 为营养评估工具建立老年胸腰椎骨折患者个体精准化肠内营养方案, 能够明显提高患者营养状况, 有利于患者术后康复。

英文摘要:

【Abstract】 Objective To study the application of prognostic nutritional index (PNI) in individualized precise enteral nutrition in elderly patients with thoracolumbar fractures. Methods 100 elderly patients with thoracolumbar fractures admitted to Zhengzhou Orthopedic Hospital from January 2023 to December 2023 were enrolled as research subjects,and then randomly divided into the study group ( n = 50) and the control group ( n = 50) using the random number table.Patients in the study group received individualized precise enteral nutrition based on the PNI, while patients in the control group underwent precision enteral nutrition based on the nutritional risk screening ( NRS ) -2002. Levels of albumin (ALB), prealbumin (PAB) and transferrin (TRF), and gastrointestinal complications, such as nausea, vomiting, diarrhea, and abdominal distension, were compared between the two groups. Results On day 6 after surgery, levels of ALB, PAB, and TRF were significantly higher in the study group compared with the control group ( t = 4.532, 2.716 and 2.257, P< 0.001, P= 0.008, P= 0.026). There was no significant difference in the incidence of postoperative nausea and vomiting, diarrhea and abdominal distension between the two groups (χ2 = 1.042, 0.543 and 1.099, P= 0.307, 0.461 and 0.295).Conclusion Using PNI as a nutritional assessment tool to establish individualized precise enteral nutrition program for elderly patients with thoracolumbar fractures can significantly improve nutritional status of patients, and is good for patients’postoperative rehabilitation.