Application of total nutritional management throughout the perioperative period in promoting postoperative recovery in patients with lumbar slip
WANG Xiaofei
YAO Jiapei
XU Jingwen
YANG Lei
WANG Lei
PAN Qian
XU Dongmei
ZHOU Ping
Abstract：Objective To explore the rehabilitation effect of perioperative whole-course nutrition management on patients with lumbar spondylolisthesis after fusion surgery.Methods Hospitalized patients who planned to undergo lumbar surgery from January 2024 to June 2024 were selected as the research subjects,and were divided into control group and experimental group according to the inclusion and exclusion criteria.The nutritional risk screening 2002 scale,Patient-Generated Subjective Global Assessment(PG-SGA),dietary intake,body mass index(BMI),laboratory examination results and quality of life survey were compared between the two groups.Results A total of 45 cases in the experimental group and 40 cases in the control group completed the intervention.The differences in BMI,PG-SGA as well as ALB and TP levels before and after intervention between the two groups were significant(P<0.05).The exhaust time(P=0.012)and defecation time(P=0.008)in the experimental group were significantly shorter than those in the control group.Compared with the control group,the experimental group had significant improvements in social function(P=0.003),nausea and vomiting(P<0.001),pain(P=0.001),loss of appetite(P<0.001)and other functional areas.Compared with the control group,the experimental group had significant differences before and after intervention in physical function(P=0.001),social function(P=0.008),general health(P<0.001),nausea and vomiting(P<0.001),pain(P<0.001),loss of appetite(P<0.001)and other functional domains.Conclusions The whole-course nutrition management can improve the nutritional status of patients with lumbar spondylolisthesis during perioperative period,promote the recovery of gastrointestinal function,and improve the postoperative rehabilitation effect and quality of life of patients.
Keywords：perioperative periodwhole-course nutrition managementlumbar spondylolisthesispostoperative rehabilitationNRS 2002
Publication Date：2025-06-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 41-47 )