相关实验视频
Updated: May 24, 2025
08:03
In Vivo Mouse Model of Spinal Implant Infection
Published on: June 23, 2020
2.3K
[术后营养查和管理对老年退行性脊柱形手术中术后感染性并发症的影响]
1Department of Orthopedics & Elderly Spinal Surgery, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric Diseases, Beijing 100053, China.
Zhonghua yi xue za zhi
|March 2, 2025
概括
术后营养管理显著减少了老年脊柱手术患者的术后感染,这些患者有营养不良的风险. 这种干预改善了营养标志物,降低了白蛋白输血率,证明了其安全性和有效性.
科学领域:
- 老年人手术是一门老年手术.
- 营养管理 营养管理
- 感染性并发症 感染性并发症
背景情况:
- 接受退行性脊柱形手术的老年患者有营养不良的高风险.
- 手术后感染性并发症对这一患者群体的结果构成重大威胁.
- 术后营养干预措施在减轻这些风险方面的作用需要进一步研究.
研究的目的:
- 评估术后营养查和管理对术后感染性并发症的影响.
- 评估营养干预对实验室参数和输血率的影响,在接受脊髓手术的老年患者中.
主要方法:
- 对139名患有退行性脊柱形的老年患者进行了回顾性队列研究,这些患者经历了开放的后部胸融合.
- 用MNA-SF (迷你营养评估简单表格) 确定为营养不良或有风险的患者.
- 对照组与接受标准化外科手术前营养管理的干预组之间的比较.
主要成果:
- 干预组显示,术后感染相关并发症的发生率明显较低 (10.1%对22.9%,P=0.044).
- 在手术后的第三天,干预组中观察到较高的血清白蛋白和预后营养指数 (PNI) 水平.
- 干预组的专输血率明显较低 (31.9%对48.6%,P=0.045).
结论:
- 术后营养查和管理对于接受脊柱形手术的老年患者来说是安全有效的.
- 这些干预措施成功地减少了营养不良或危险患者感染相关的并发症.
- 在术前优化营养状况可以改善临床结果,并减少对白蛋白输血的需要.
相关概念视频
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
54
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
54
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
39
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
39
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
161
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
161
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
85
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
85
01:22Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K
01:30Pneumonia V: Nursing management and Prevention
1.8K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.8K