Jensen J E, Jensen T G, Smith T K, Johnston D A, Dudrick S J
J Bone Joint Surg Am. 1982 Dec;64(9):1263-72.
One hundred and twenty-nine patients undergoing orthopaedic surgical procedures were found to have an average incidence of clinical and subclinical malnutrition of 42.4 per cent per patient. The lowest incidence of nutritional depletion was identified in patients undergoing total hip-replacement surgery (28.6 per cent), followed by the elective surgical group (35.3 per cent) and patients with multiple trauma and femoral fractures (58.6 per cent). Trauma and major surgery were shown to induce a state of malnutrition and a loss of immunocompetence. A significant (p less than 0.05) correlation between subnormal nutritional indices and the development of complications was identified. A comprehensive approach to the detection and correction of malnutrition in orthopaedic patients is described.
在接受骨科手术的129名患者中，发现每位患者临床和亚临床营养不良的平均发生率为42.4%。营养消耗发生率最低的是接受全髋关节置换手术的患者（28.6%），其次是择期手术组（35.3%）以及多发伤和股骨骨折患者（58.6%）。创伤和大手术被证明会引发营养不良状态和免疫能力丧失。已确定营养指标低于正常水平与并发症的发生之间存在显著相关性（p<0.05）。本文描述了一种针对骨科患者营养不良的检测和纠正的综合方法。
