Early postoperative nutrition management under ERAS guidelines in patients undergoing lumbar fusion
10.16151/j.1007-810x.2024.02.003
- VernacularTitle:ERAS理念下术后早期营养管理在腰椎融合术病人中的应用
- Author:
Hai-Rong HE
1
;
Ying-Xin DU
;
Long MA
;
Yu-Han XIA
;
Meng YUAN
;
Dong-Mei BAO
Author Information
1. 宁夏医科大学总医院,营养科,宁夏银川,750003
- Keywords:
Nutritional intervention;
Lumbar fusion surgery;
Nutritional and biochemical indicators;
Length of hospital stay
- From:
Parenteral & Enteral Nutrition
2024;31(2):83-86
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of early postoperative nutritional management under enhanced recovery after surgery (ERAS) guidelines on nutritional biochemical indicators and length of hospital stay in patients undergoing lumbar fusion surgery. Method:Ninety-four patients who underwent lumbar posterior internal fixation + intervertebral fusion surgery in Department of Orthopedics Ⅲ of Ningxia Medical University General Hospital from January 2020 to March 2021 were randomly divided into an intervention group (n=47) and a control group (n=47). The intervention group received nutritional intervention by a clinical nutritionist at 2 hours after anesthesia recovery, and the control group started to eat liquid diet at 6 hours after anesthesia recovery. The protein-calorie intake, blood glucose, total protein, albumin, hemoglobin, postoperative hospitalization time and total hospitalization time of the two groups were observed. Results:The protein-calorie intake of the intervention group was higher than that of the control group on the day of surgery and the first 3 days after surgery, with statistically significant differences (P<0.05). The blood glucose level of the intervention group was lower than that of the control group on the first day after surgery, with statistically significant differences (P<0.05). The total protein level of the intervention group was higher than that of the control group on the third day after surgery, with statistically significant differences (P<0.05). The albumin and hemoglobin levels of the intervention group were higher than those of the control group on the first and third days after surgery, with statistically significant differences (P<0.05). The incidence of abdominal distension and the length of hospital stay in the intervention group were lower than those in the control group, with statistically significant differences (P<0.05). Conclusion:Early postoperative nutritional management has a certain effect on improving nutritional and biochemical indicators and shortening the length of hospital stay in patients undergoing lumbar fusion surgery.
