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老年髋部骨折患者围术期营养管理最佳证据总结

Summary of the best evidence for perioperative nutritional management of elderly patients with hip fractures

    摘要
  • 摘要:
    目的  检索老年髋部骨折患者围术期营养管理的相关证据, 并对最佳证据进行总结。
    方法  检索中国知网(CNKI)、UpToDate、英国国家卫生与临床示范研究所(NICE)、Cochrane Library、苏格兰大学校际指南协作网(SIGN)、美国国立临床诊疗指南数据库、中国医脉通指南网、PubMed、维普生物医学期刊数据库、ovid(Embase)、中华医学期刊全文数据库、中国生物医学文献和万方医学网中关于老年髋部骨折患者围术期营养管理的临床决策、指南、证据总结、系统评价、专家共识等相关文献，检索时限为2015年1月—2023年9月。
    结果  本研究共纳入13篇文献，包括5篇指南、4篇专家共识、4篇系统评价，从营养支持目标、营养评估与筛查、术前营养支持、术后营养支持、营养干预原则、饮食管理6个方面共汇总出32条最佳证据。
    结论  本研究总结了老年髋部骨折患者围术期营养管理的最佳证据，可帮助医护人员更好地对老年髋部骨折患者实施有效的围术期营养管理。

     

    Abstract:
    Objective  To retrieve relevant evidence for perioperative nutritional management of elderly patients with hip fractures and summarize the best evidence.
    Methods  Clinical decision-making, guidelines, evidence summaries, systematic reviews, expert consensus, and other relevant literature on perioperative nutritional management of elderly patients with hip fractures were retrieved from Chinese National Knowledge Infrastructure (CNKI), UpToDate, National Institute for Health and Care Excellence (NICE), Cochrane Library, Scottish Intercollegiate Guidelines Network (SIGN), National Guideline Clearinghouse, Chinese Medical Pulse Guideline Network, PubMed, VIP Biomedical Journal Database, ovid (Embase), Chinese Medical Journal Full-text Database, Chinese Biomedical Literature Database, and Wanfang Medical Network. The search period was from January 2015 to September 2023.
    Results  A total of 13 articles were included in this study, including 5 guidelines, 4 expert consensus, and 4 systematic reviews. A total of 32 best evidences were summarized from six aspects: nutritional support goals, nutritional assessment and screening, preoperative nutritional support, postoperative nutritional support, nutritional intervention principles, and diet management.
    Conclusion  This study summarizes the best evidence for perioperative nutritional management of elderly patients with hip fractures, which can help healthcare professionals better implement effective perioperative nutritional management for elderly patients with hip fractures.

     

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