高骨胶原蛋白饮食护理在骨折术后康复中的应用
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摘要
目的探究高骨胶原蛋白饮食护理在骨折术后康复中的临床应用效果。方法收集2015年3月至2017年6月我院收治的骨折患者106例,根据所采取的术后康复护理方案不同,将其分为研究组与对照组,对照组患者(n=48)采取术后康复常规护理,研究组患者(n=58)则在对照组的基础上加用高骨胶原蛋白饮食护理方案。比较两组患者的康复疗效、骨折愈合时间、住院时间、营养达标及胃肠道不良反应发生情况。结果研究组患者与对照组相比,骨折愈合时间、住院时间均明显缩短(P<0.05),营养达标率则明显较对照组更高(P<0.05);经过比较研究组患者的治疗总优良率明显高于对照组患者(P<0.05);研究组患者的胃肠道不良反应发生率明显较对照组患者低(P<0.05),差异显著。结论在骨折患者术后康复过程中采用高骨胶原蛋白饮食护理,疗效显著,能有效缩短骨折愈合时间,提高患者的营养,减短住院时间,减少不良反应的发生。
Objective To explore the clinical application effect of high-collagen protein diet in the rehabilitation of fractures. Methods Total of 106 cases of fracture patients admitted to our hospital from March 2015 to June 2017 were collected. According to the different postoperative rehabilitation and nursing programs, the patients were divided into study group and control group. Patients in the control group(n=48) received routine rehabilitation after surgery, and patients in the study group(n=58) were given a high-protein collagen diet regimen based on the control group. The rehabilitation efficacy, fracture healing time, hospitalization time, nutrition standard and adverse gastrointestinal reactions of 2 groups were compared. Results Compared with the control group, the fracture healing time and hospitalization time were significantly shorter in the study group( P<0.05), and the nutritional compliance rate was significantly higher(P<0.05). The total excellent and good rate of treatment in the comparative study group was significantly higher than that in the control group(P<0.05). The incidence of gastrointestinal adverse reactions in the study group was significantly lower than that in the control group( P<0.05), and the difference was significant. Conclusion In the postoperative rehabilitation process of fracture patients, the effect of using high-collagen diet is significant, which can effectively shorten the fracture healing time, improve the patient's nutrition, reduce hospitalization time and the occurrence of adverse reactions.
Objective To explore the clinical application effect of high-collagen protein diet in the rehabilitation of fractures. Methods Total of 106 cases of fracture patients admitted to our hospital from March 2015 to June 2017 were collected. According to the different postoperative rehabilitation and nursing programs, the patients were divided into study group and control group. Patients in the control group(n=48) received routine rehabilitation after surgery, and patients in the study group(n=58) were given a high-protein collagen diet regimen based on the control group. The rehabilitation efficacy, fracture healing time, hospitalization time, nutrition standard and adverse gastrointestinal reactions of 2 groups were compared. Results Compared with the control group, the fracture healing time and hospitalization time were significantly shorter in the study group( P<0.05), and the nutritional compliance rate was significantly higher(P<0.05). The total excellent and good rate of treatment in the comparative study group was significantly higher than that in the control group(P<0.05). The incidence of gastrointestinal adverse reactions in the study group was significantly lower than that in the control group( P<0.05), and the difference was significant. Conclusion In the postoperative rehabilitation process of fracture patients, the effect of using high-collagen diet is significant, which can effectively shorten the fracture healing time, improve the patient's nutrition, reduce hospitalization time and the occurrence of adverse reactions.
引文
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[6]程锦珍,卢小虎,朱彩云,等.临床护理路径干预在股骨胫骨折患者术后康复期中的应用研究[J].川北医学院学报, 2018, 33(1):14-17.Cheng JZ, Lu XH, Zhu CY, et al. Application of clinical nursing pathway interventioninpostoperativerehabilitationofpatientswithfemoral condyle fractures[J]. J North Sichuan Med Coll, 2018, 33(1):14-17.
[7]吕庆丹.骨折术后患者的饮食护理探讨[J].现代诊断与治疗,2016,27(8):1557-1558.Lu QD. Discussion on diet nursing of patients after fracture[J]. Mod Diag Treat, 2016, 27(8):1557-1558.
[8]温鑫鑫,丁海蛟,张英霞,等.骨胶原属性与骨强度关系研究进展[J].中国骨质疏松杂志, 2017, 23(9):1250-1253.WenXX,DingHZ,ZhangYX,etal.Researchprogressonthe relationshipbetweencollagenpropertiesandbonestrength[J].ChinJ Osteoporosis, 2017, 23(9):1250-1253.
[9]刘敏,伍贤平,童敏,等.超早期高压氧治疗对脊髓全横断损伤大鼠股骨骨钙、骨生物力学及骨胶原的影响[J].中国康复理论与实践,2016,22(10):1145-1150.LiuM,WuXP,TongM,etal.Effectsofultra-earlyhyperbaricoxygen therapy on femoral bone calcium, bone biomechanics and collagen in rats withspinalcordinjury[J].ChinJRehabilTheoryPract,2016,22(10):1145-1150.
[10]苏秀花.饮食护理在骨折术后康复中的应用[J].现代诊断与治疗,2016, 27(7):1359-1361.SuXH.Applicationofdietnursinginpostoperativerehabilitationof fractures[J]. Mod Diag Treat, 2016, 27(7):1359-1361.
[11]胡玉丽,温晓红,徐菊玲,等.快速康复外科理念在髋部骨折术后早期活动中的应用进展[J].护士进修杂志, 2017, 32(22):2041-2043.Hu YL, Wen XH, Xu JL, et al. Application of rapid rehabilitation surgery conceptinearlypostoperativeactivitiesofhipfracture[J].JNurTrain,2017, 32(22):2041-2043.
[12]李志军.骨质疏松骨折基础和临床研究方法进展[J].当代医学,2017,23(18):198-200.LiZJ.Progressinbasicandclinicalresearchmethodsofosteoporotic fractures[J]. J Cont Med, 2017, 23(18):198-200.
[13]禇青波.骨质疏松患者血清MMP相关指标及骨胶原指标的变化研究[J].陕西医学杂志, 2017, 46(5):619-620.Chu QB. Changes of serum MMP related indexes and collagen indexes in patients with osteoporosis[J]. Shaanxi Med J, 2017, 46(5):619-620.
[14]张峰,王江泽,丁真奇,等.叩击式骨应力刺激仪促进山羊胫骨骨折愈合的实验研究[J].中华创伤骨科杂志, 2016, 18(1):66-73.ZhangF,WangJZ,DingZQ,etal.Experimentalstudyonsniperbone stressstimulatortopromotehealingoftibiafractureingoats[J].ChinJ Orthop Trau, 2016, 18(1):66-73.
[15]金卓.综合护理干预对多发肋骨骨折预后的影响[J].中华现代护理杂志2016, 22(10):1446-1447, 1448.JinZ.Effectofcomprehensivenursinginterventionontheprognosisof multipleribfractures[J].ChinJModNurs,2016,22(10):1446-1447,1448.
[16]刘厚福,赵钊,胡藩,等.骨胶原肽对老年人骨密度和骨代谢指标的影响[J].营养学报, 2016, 38(2):124-127.Liu HF, Zhao Z, Hu P, et al. Effects of collagen peptide on bone mineral density and bone metabolism in the elderly[J]. Acta Nutr Sin, 2016, 38(2):124-127.
[2]陈莉.优质护理服务在骨折患者中的应用价值体会[J].湖南中医药大学学报, 2016, 36(S2):870-871.ChenL.Experienceintheapplicationofqualitynursingservicesin patients with fractures[J]. J Hunan Univ Tradit Chin Med, 2016, 36(S2):870-871.
[3]王淑峰,张红梅,凌映月,等.延续性护理在四肢关节内骨折术后功能康复的应用与效果评价[J].中国实用护理杂志,2017,33(33):2581-2584.Wang SF, Zhang HM, Ling YY, et al. Application and effect evaluation of continuousnursinginpostoperativefunctionalrehabilitationof intra-articular fractures of extremities[J]. Chin J Prac Nur, 2017, 33(33):2581-2584.
[4]周伟娜,王艳明,杨晶晶,等.延续性护理在老年股骨转子间骨折患者出院后康复中的应用[J].河北医学, 2016, 22(11):1904-1906.Zhou WN, Wang YM, Yang JJ, et al. Application of continuous nursing in post-dischargerehabilitationofelderlypatientswithintertrochanteric fractures[J]. Hebei Med, 2016, 22(11):1904-1906.
[5]高金宝,石晓云,张沉冰,等.医护一体化护理模式在骨科患者术后快速康复中的应用价值[J].现代中西医结合杂志,2016,25(31):3520-3522.GaoJB,ShiXY,ZhangCB,etal.Thevalueofintegratednursingcare modelintherapidrehabilitationoforthopedicpatientsaftersurgery[J].Mod J Int Trad Chin West Med, 2016, 25(31):3520-3522.
[6]程锦珍,卢小虎,朱彩云,等.临床护理路径干预在股骨胫骨折患者术后康复期中的应用研究[J].川北医学院学报, 2018, 33(1):14-17.Cheng JZ, Lu XH, Zhu CY, et al. Application of clinical nursing pathway interventioninpostoperativerehabilitationofpatientswithfemoral condyle fractures[J]. J North Sichuan Med Coll, 2018, 33(1):14-17.
[7]吕庆丹.骨折术后患者的饮食护理探讨[J].现代诊断与治疗,2016,27(8):1557-1558.Lu QD. Discussion on diet nursing of patients after fracture[J]. Mod Diag Treat, 2016, 27(8):1557-1558.
[8]温鑫鑫,丁海蛟,张英霞,等.骨胶原属性与骨强度关系研究进展[J].中国骨质疏松杂志, 2017, 23(9):1250-1253.WenXX,DingHZ,ZhangYX,etal.Researchprogressonthe relationshipbetweencollagenpropertiesandbonestrength[J].ChinJ Osteoporosis, 2017, 23(9):1250-1253.
[9]刘敏,伍贤平,童敏,等.超早期高压氧治疗对脊髓全横断损伤大鼠股骨骨钙、骨生物力学及骨胶原的影响[J].中国康复理论与实践,2016,22(10):1145-1150.LiuM,WuXP,TongM,etal.Effectsofultra-earlyhyperbaricoxygen therapy on femoral bone calcium, bone biomechanics and collagen in rats withspinalcordinjury[J].ChinJRehabilTheoryPract,2016,22(10):1145-1150.
[10]苏秀花.饮食护理在骨折术后康复中的应用[J].现代诊断与治疗,2016, 27(7):1359-1361.SuXH.Applicationofdietnursinginpostoperativerehabilitationof fractures[J]. Mod Diag Treat, 2016, 27(7):1359-1361.
[11]胡玉丽,温晓红,徐菊玲,等.快速康复外科理念在髋部骨折术后早期活动中的应用进展[J].护士进修杂志, 2017, 32(22):2041-2043.Hu YL, Wen XH, Xu JL, et al. Application of rapid rehabilitation surgery conceptinearlypostoperativeactivitiesofhipfracture[J].JNurTrain,2017, 32(22):2041-2043.
[12]李志军.骨质疏松骨折基础和临床研究方法进展[J].当代医学,2017,23(18):198-200.LiZJ.Progressinbasicandclinicalresearchmethodsofosteoporotic fractures[J]. J Cont Med, 2017, 23(18):198-200.
[13]禇青波.骨质疏松患者血清MMP相关指标及骨胶原指标的变化研究[J].陕西医学杂志, 2017, 46(5):619-620.Chu QB. Changes of serum MMP related indexes and collagen indexes in patients with osteoporosis[J]. Shaanxi Med J, 2017, 46(5):619-620.
[14]张峰,王江泽,丁真奇,等.叩击式骨应力刺激仪促进山羊胫骨骨折愈合的实验研究[J].中华创伤骨科杂志, 2016, 18(1):66-73.ZhangF,WangJZ,DingZQ,etal.Experimentalstudyonsniperbone stressstimulatortopromotehealingoftibiafractureingoats[J].ChinJ Orthop Trau, 2016, 18(1):66-73.
[15]金卓.综合护理干预对多发肋骨骨折预后的影响[J].中华现代护理杂志2016, 22(10):1446-1447, 1448.JinZ.Effectofcomprehensivenursinginterventionontheprognosisof multipleribfractures[J].ChinJModNurs,2016,22(10):1446-1447,1448.
[16]刘厚福,赵钊,胡藩,等.骨胶原肽对老年人骨密度和骨代谢指标的影响[J].营养学报, 2016, 38(2):124-127.Liu HF, Zhao Z, Hu P, et al. Effects of collagen peptide on bone mineral density and bone metabolism in the elderly[J]. Acta Nutr Sin, 2016, 38(2):124-127.