Clinical Study On Regulating Spleen And Kidney Method Combined With Enteral Nutrition In The Treatment Of Spleen And Kidney Deficiency Type Senile Femoral Neck Fracture Postoperative Malnutrition

Objective:To observe the clinical curative effect of tonifying spleen and kidney method combined with enteral nutrition on postoperative malnutrition in elderly patients with femoral neck fracture.Methods:Forty-eight patients with malnutrition were randomly divided into two groups:control group (n= 24) and control group (n= 24). The scores of nutritional status and nutritional status were evaluated before and 1 week after operation. Blood index test, and to drug intervention, in which the Chinese medicine group to the spleen and kidney decoction on the second Shuijianbi, while the enteral nutrition program to the control group only to enteral nutrition, treatment three weeks after the re-scale Scoring, nutritional status and blood test, compared the three data, discuss the conclusions.Result:There was no significant difference between the two groups before and after treatment (p> 0.05), There was no significant difference between the two groups before and after treatment (p> 0.05). There was significant difference between the two groups after treatment (p<0.05), and there was no significant difference between the two groups(p<0.05).(2) Nutritional risk screening:There were no significant differences in the scores of preoperative scores and pre-treatment scores between the two groups (p> 0.05).There was statistically significant difference between the two groups before and after treatment (p<0.05). There was significant difference between the two groups (p<0.05). The difference between the two groups was statistically significant (p<0.05).(3) SGA score:There was no significant difference between the two groups before and after treatment (p>0.05). The difference between the two groups was statistically significant (p<0.05). There was significant difference between the control group and the control group (p<0.05). The difference between the two groups was statistically significant (p<0.05).The serum levels of hemoglobin, albumin and prealbumin before and after treatment in the two groups were not statistically different (p>0.05).There was no significant difference between the two groups before and after treatment (p<0.05). There was no significant difference between the two groups before and after treatment (p<0.05). There was no significant difference between the control group and the control group before hemoglobin and albumin treatment (p>0.05). There was significant difference between the two groups (p<0.05). There was significant difference betweenthe traditional Chinese medicine group and the control group (p<0.05). Conclusions:1. All patients with femoral neck fractures will have different levels of malnutrition after one week, which may be related to intraoperative bleeding, surgical stress and postoperative activities, poor diet absorption and so on.2, Tiaopi Yishen method combined with enteral nutrition and enteral nutrition alone can improve the spleen and kidney deficiency elderly femoral neck fractures postoperative malnutrition.3, Tiaopi Yishen method makes spleen and kidney law with Qi and spleen, kidney and other effects of strong gluten, combined enteral nutrition on the spleen and kidney deficiency elderly femoral neck fracture malnutrition after the effect is better than the simple application of enteral nutrition.