Objective:To investigate the effect of comprehensive nutrition intervention on nutritional status and motor function of patients with osteoporotic fractures.Methods:A total of 114 patients with osteoporotic fractures treated in the Department of Orthopedics of Henan Provincial People’s Hospital from February 2019 to December 2020 were selected and divided into control group and study group by random number table method, with 57 cases in each group. All patients received surgical treatment and conventional anti-osteoporosis treatment, the control group received conventional rehabilitation care during hospitalization, and the study group received comprehensive nutritional intervention based on the treatment of the control group. The nutritional index levels, lateral bone density of the 2nd lumbar vertebra to the 4th lumbra vertebra (L2-4), levels of blood calcium, blood phosphorus and motor function (Fugl-Meyer assesment score) before intervention and after 6 months of intervention were compared between the two groups.Results:After 6 months of intervention, the levels of hemoglobin, total serum protein and albumin in the two groups were higher than those before intervention, and those in the study group were higher than those in the control group ( P<0.05); the level of blood calcium in the study group was (2.50±0.27) mmol/L, the lateral bone density of the L2-4 was (0.59±0.07) g/cm 2, which were higher than the (1.91±0.20) mmol/L and (0.56±0.09) g/cm 2 before intervention, and higher than the (1.99±0.26) mmol/L and (0.54±0.11) g/cm 2 in the control group (all P<0.05); the scores of upper limb motor function, lower limb motor function and Fugl-Meyer assesment total score in the two groups were higher than those before intervention, and those in the study group were higher than those in the control group ( P<0.05). Conclusions:Comprehensive nutritional intervention can improve postoperative nutritional status of patients with osteoporotic fracture, effectively increase blood calcium level and bone mineral density, and effectively improve postoperative motor function.

目的:探讨营养干预方法对住院初发糖尿病患者强化治疗的影响。方法:选择2010年2月～2012年12月在我院內分泌科治疗的2型糖尿病患者50例,都采用胰岛素强化治疗,然后给予积极的营养干预。结果:患者干预后的血糖、血压与血脂检验值都有明显下降,与干预前对比差异明显(P<0.05)。患者干预后的摄入能量、蛋白与脂肪值都明显得到降低,与干预前对比差异明显(P<0.05)。结论:营养干预方法在住院初发糖尿病患者强化治疗中的应用有利于降低血糖、血压与血脂值,优化营养素摄入水平,提高患者预后。

目的提高糖尿病患者胰岛素皮下注射正确率及相关知识掌握度。方法将540例糖尿病患者按均等原则分为观察组320例和对照组220例,观察组行胰岛素用药专项健康教育即成立专项教育小组、设置糖尿病教育示教室、讲解与注射操作示范结合、建立胰岛素用药档案;对照组由责任护士进行常规健康教育。患者出院访视6个月后评价效果。结果观察组胰岛素知识掌握率显著高于对照组,胰岛素注射不良事件发生率显著低于对照组(P<0.05,P<0.01)。结论专项教育有利于提高教育效果,可作为糖尿病教育的补充形式。