MDT免疫营养支持治疗在老年颅脑手术病人中的应用效果

doi:10.3969/j.issn.1003-9198.2024.03.015

Abstract

Abstract: Objective To study the therapeutic effect of immunonutritional support under the multidisciplinary team (MDT) model in the elderly patients undergoing craniocerebral surgery. Methods A total of 372 patients aged ≥65 years old who underwent craniocerebral surgery from January 2021 to December 2022 were enrolled and divided into experimental group (73 cases) and control group (299 cases) according to whether MDT immunonutritional support was adopted. And 48 cases were enrolled in experimental group and control group respectively by 1∶1 propensity score matching (PSM). The levels of immunonutritional indexes and inflammational indexes, postoperative complications and prognosis of the two groups were recorded and compared 7 days after treatment. Results After treatment, the levels of prealbumin (PA) and albumin (Alb) were significantly higher, and the levels of procalcitonin (PCT), C-reactive protein (CRP) and interleukin-6 (IL-6) in experimental group were significantly lower than those in control group, with statistical significance (P<0.01). The normal rate of Geriatric Nutritional Risk in experimental group was significantly higher than that in control group (P<0.05). The incidence rates of poor wound healing and postoperative infection in experimental group were lower than those in control group (P<0.05). After treatment, the Glasgow Coma Scale score and the good prognosis rate in experimental group were significantly higher than those in control group (P<0.05). Conclusions MDT immunonutritional support therapy can promote postoperative rehabilitation and prognosis and improve quality of life in the elderly patients undergoing craniocerebral surgery.

Key words: multidisciplinary team, immunonutrition, aged, craniocerebral surgery, nutritional status, prognosis

CLC Number:

R 651.11

CHEN Lu, YAO Junying, YU Yongyun, FAN Min. Effect of MDT immunonutritional support therapy in elderly patients undergoing craniocerebral surgery[J]. Practical Geriatrics, 2024, 38(3): 278-282.

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Effect of MDT immunonutritional support therapy in elderly patients undergoing craniocerebral surgery

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