低脂高维饮食搭配干预对四肢骨折术后愈合的促进作用研究
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摘要
目的探究低脂高维饮食搭配干预对四肢骨折术后愈合的促进作用。方法收集2018年1月到2018年12月于我院进行内固定术治疗的四肢骨折患者108例,随机分为研究组与对照组,其中对照组患者50例术后给予常规饮食干预,研究组患者58例术后给予低脂高维饮食搭配干预。比较2组患者的临床疗效、骨折愈合时间、不良反应发生情况。结果与对照组相比,研究组的治疗优良率明显更高(P<0.05);研究组患者的各骨折部位的愈合时间均低于对照组(P<0.05);研究组患者肿胀疼痛、感染、关节僵硬、屈曲障碍、压疮等不良反应的发生率明显低于对照组(P<0.05),差异存在统计学意义。结论四肢骨折患者术后给予低脂高维饮食搭配干预,可促进骨折的愈合,降低术后不良反应的发生,提高临床疗效。
Objective To investigate the promoting effect of low fat and high vitamin diet intervention on postoperative healing of limb fractures. Methods Totally 108 cases of limb fractures treated by internal fixation in our hospital from January 2018 to December 2018 were collected. They were randomly divided into study group and control group. For 50 patients in the control group received routine dietary intervention after operation. For 58 patients in the study group were given low-fat and high-dimensional diet intervention. The clinical efficacy, fracture healing time and adverse reactions of the 2 groups were compared. Results Compared with the control group, the excellent rate of treatment in the study group was significantly higher(P<0.05). The healing time of each fracture site of the study group was lower than the control group(P<0.05). The incidence of adverse reactions such as swelling and pain, infection, joint stiffness, flexion disorder and pressure sore in the study group was significantly lower than that in the control group(P>0.05), and the difference was statistically significant. Conclusion Low-fat,high-dimension diet intervention can promote fracture healing, reduce postoperative adverse reactions, and improve clinical outcomes for patients with limb fractures.
Objective To investigate the promoting effect of low fat and high vitamin diet intervention on postoperative healing of limb fractures. Methods Totally 108 cases of limb fractures treated by internal fixation in our hospital from January 2018 to December 2018 were collected. They were randomly divided into study group and control group. For 50 patients in the control group received routine dietary intervention after operation. For 58 patients in the study group were given low-fat and high-dimensional diet intervention. The clinical efficacy, fracture healing time and adverse reactions of the 2 groups were compared. Results Compared with the control group, the excellent rate of treatment in the study group was significantly higher(P<0.05). The healing time of each fracture site of the study group was lower than the control group(P<0.05). The incidence of adverse reactions such as swelling and pain, infection, joint stiffness, flexion disorder and pressure sore in the study group was significantly lower than that in the control group(P>0.05), and the difference was statistically significant. Conclusion Low-fat,high-dimension diet intervention can promote fracture healing, reduce postoperative adverse reactions, and improve clinical outcomes for patients with limb fractures.
引文
[1]姜舀恒,李莹,王岩.踝关节骨折畸形愈合的诊断与治疗研究进展[J].中华创伤骨科杂志,2017,19(3):268-271.Jiang YH,Li Y,Wang Y.Progress in diagnosis and treatment of malunion of ankle fracture[J].Chin J Orthop Trauma,2017,19(3):268-271.
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[6]郭长青,潘建涛,孙建舫,等.改良VSD技术联合洗必泰冲洗对四肢骨折术后患者感染及伤口愈合的影响[J].河北医药,2017,39(5):740-743.Guo CQ,Pan JT,Sun JJ,et al.Effects of modified VSD technique combined with chlorhexidine irrigation on infection and wound healing in patients with limb fractures[J].Hebei Med J,2017,39(5):740-743.
[7]付常国,贾坤,李涛,等.四肢骨折锁定钢板内固定存在的问题及对策[J].中国骨与关节损伤杂志,2016,31(3):325-327.Fu CG,Jia K,Li T,et al.Problems and countermeasures for internal fixation of locking fractures of extremities[J].Chin J Bone Joint Injury,2016,31(3):325-327.
[8]牛锋,傅强,杨昌杰,等.封闭负压引流联合灌注冲洗治疗四肢骨折内固定术后感染[J].中国骨伤,2016,29(7):651-654.Niu F,Fu Q,Yang CJ,et al.Closed vacuum drainage combined with perfusion irrigation for the treatment of postoperative internal fixation of extremities fractures[J].Chin J Orthopa Trauma,2016,29(7):651-654.
[9]蔡正强,彭兰林,陈政,等.骨折后患者应激水平对凝血功能变化与骨折愈合进度的影响[J].中华创伤骨科杂志,2017,19(4):353-356.Cai ZQ,Peng LL,Chen Z,et al.Effects of stress level on coagulation function and fracture healing progress after fracture[J].Chin J Orthop Trauma,2017,19(4):353-356.
[10]詹陈菊,王美,刘琪希,等.四肢骨折全麻术后患者早期进食的实证研究[J].护理学杂志,2017,32(8):54-56.Zhan CJ,Wang M,Liu QX,et al.An empirical study of early eating after general anesthesia for limb fractures[J].J Nurs Sci,2017,32(8):54-56.
[11]赵小义.临床骨外科学[M].北京:中国医药科技出版社,2010.Zhao XY.Clinical osteosurgery[M].Beijing:China Medical Science and Technology Press,2010.
[12]余翔,顾小华,王拥军.四肢骨折术后的康复治疗进展[J].中国康复,2018,33(3):249-252.Yu X,Gu XH,Wang YJ.Progress in rehabilitation therapy after limb fracture[J].Chin J Rehabilit,2018,33(3):249-252.
[13]朱书涛,刘洋,张明辉,等.股骨粗隆间骨折DHS内固定术后骨折不愈合的危险因素[J].中国矫形外科杂志,2016,24(12):1076-1079.Zhu ST,Liu Y,Zhang MH,et al.Risk factors of fracture nonunion after DHS internal fixation for intertrochanteric fractures[J].Chin J Orthop,2016,24(12):1076-1079.
[14]白博,桑宏勋,吴子祥,等.四肢骨折内固定术后手术部位感染危险因素[J].中国感染控制杂志,2017,16(4):334-337.Bai B,Sang HX Wu ZX,et al.Risk factors for surgical site infection after internal fixation of extremities fractures[J].Chin J Inf Contl,2017,16(4):334-337.
[15]胡海华.微创经皮锁定加压钢板内固定在治疗四肢骨折中的临床价值[J].检验医学与临床,2017,14(A02):287-289.Hu HH.Clinical value of minimally invasive percutaneous locking compression plate fixation in the treatment of limb fractures[J].Lab Med Clin,2017,14(A02):287-289.
[16]刘沛霖,马超.自拟接骨促愈方联合阿法骨化醇对新鲜四肢骨折患者术后愈合进程及BMP、IGF、VEGF的影响[J].现代中西医结合杂志,2016,25(34):3822-3824.Liu PL,Ma C.Effect of self-designed bone-assisted stagnation combined with alfacalcidol on postoperative healing process and BMP,IGF,VEGFin patients with fresh limb fractures[J].Mode J Integr Tradi Chin Western Med,2016,25(34):3822-3824.
[2]真启云,费文勇,杨文婷.四肢骨折患者肢体肿胀的护理干预[J].护理学杂志,2016,31(12):17-19.Zhen QY,Fei WY,Yang WT.Nursing intervention of limb swelling in patients with limb fractures[J].J Nurs Sci,2016,31(12):17-19.
[3]刘训志,陈文龙.注射用骨瓜提取物对四肢骨折愈合的预后效果[J].解放军医药杂志,2016,28(9):86-89.Liu XZ,Chen WL.Prognostic effect of bone extract for injection on fracture healing of extremities[J].Chin J Med,2016,28(9):86-89.
[4]曾政,蔡亲峰,周宗波,等.补肾接骨汤加减治疗四肢骨折后急性疼痛肿胀的临床研究[J].中国医药导刊,2016,18(6):625-627.Zeng Z,Cai QF,Zhou ZB,et al.Clinical study of bushen zhugu decoction in treating acute pain and swelling after fracture of extremities[J].Chin Med Guide,2016,18(6):625-627.
[5]程红霞,张琴,付艳,等.中药伤科油纱外敷改善四肢骨折患者术后肢体疼痛及肿胀的效果观察[J].广西医科大学学报,2017,34(1):147-150.Cheng HX,Zhang Q,Fu Y,et al.Effect of external application of traditional Chinese medicine wounds on improving limb pain and swelling in patients with limb fractures[J].J Guangxi Med Univ,2017,34(1):147-150.
[6]郭长青,潘建涛,孙建舫,等.改良VSD技术联合洗必泰冲洗对四肢骨折术后患者感染及伤口愈合的影响[J].河北医药,2017,39(5):740-743.Guo CQ,Pan JT,Sun JJ,et al.Effects of modified VSD technique combined with chlorhexidine irrigation on infection and wound healing in patients with limb fractures[J].Hebei Med J,2017,39(5):740-743.
[7]付常国,贾坤,李涛,等.四肢骨折锁定钢板内固定存在的问题及对策[J].中国骨与关节损伤杂志,2016,31(3):325-327.Fu CG,Jia K,Li T,et al.Problems and countermeasures for internal fixation of locking fractures of extremities[J].Chin J Bone Joint Injury,2016,31(3):325-327.
[8]牛锋,傅强,杨昌杰,等.封闭负压引流联合灌注冲洗治疗四肢骨折内固定术后感染[J].中国骨伤,2016,29(7):651-654.Niu F,Fu Q,Yang CJ,et al.Closed vacuum drainage combined with perfusion irrigation for the treatment of postoperative internal fixation of extremities fractures[J].Chin J Orthopa Trauma,2016,29(7):651-654.
[9]蔡正强,彭兰林,陈政,等.骨折后患者应激水平对凝血功能变化与骨折愈合进度的影响[J].中华创伤骨科杂志,2017,19(4):353-356.Cai ZQ,Peng LL,Chen Z,et al.Effects of stress level on coagulation function and fracture healing progress after fracture[J].Chin J Orthop Trauma,2017,19(4):353-356.
[10]詹陈菊,王美,刘琪希,等.四肢骨折全麻术后患者早期进食的实证研究[J].护理学杂志,2017,32(8):54-56.Zhan CJ,Wang M,Liu QX,et al.An empirical study of early eating after general anesthesia for limb fractures[J].J Nurs Sci,2017,32(8):54-56.
[11]赵小义.临床骨外科学[M].北京:中国医药科技出版社,2010.Zhao XY.Clinical osteosurgery[M].Beijing:China Medical Science and Technology Press,2010.
[12]余翔,顾小华,王拥军.四肢骨折术后的康复治疗进展[J].中国康复,2018,33(3):249-252.Yu X,Gu XH,Wang YJ.Progress in rehabilitation therapy after limb fracture[J].Chin J Rehabilit,2018,33(3):249-252.
[13]朱书涛,刘洋,张明辉,等.股骨粗隆间骨折DHS内固定术后骨折不愈合的危险因素[J].中国矫形外科杂志,2016,24(12):1076-1079.Zhu ST,Liu Y,Zhang MH,et al.Risk factors of fracture nonunion after DHS internal fixation for intertrochanteric fractures[J].Chin J Orthop,2016,24(12):1076-1079.
[14]白博,桑宏勋,吴子祥,等.四肢骨折内固定术后手术部位感染危险因素[J].中国感染控制杂志,2017,16(4):334-337.Bai B,Sang HX Wu ZX,et al.Risk factors for surgical site infection after internal fixation of extremities fractures[J].Chin J Inf Contl,2017,16(4):334-337.
[15]胡海华.微创经皮锁定加压钢板内固定在治疗四肢骨折中的临床价值[J].检验医学与临床,2017,14(A02):287-289.Hu HH.Clinical value of minimally invasive percutaneous locking compression plate fixation in the treatment of limb fractures[J].Lab Med Clin,2017,14(A02):287-289.
[16]刘沛霖,马超.自拟接骨促愈方联合阿法骨化醇对新鲜四肢骨折患者术后愈合进程及BMP、IGF、VEGF的影响[J].现代中西医结合杂志,2016,25(34):3822-3824.Liu PL,Ma C.Effect of self-designed bone-assisted stagnation combined with alfacalcidol on postoperative healing process and BMP,IGF,VEGFin patients with fresh limb fractures[J].Mode J Integr Tradi Chin Western Med,2016,25(34):3822-3824.