Insulin resistance and gastrointestinal function
Conditions
Interventions
Carbohydrate group:Non-diabetic patients were admitted to hospital to take Enteral Nutritional Powder (TP)112.6g/ day (3 times/day), drank 200ml pulsing 2 hours before surgery, and resumed taking TP 1
The patient with diabetes was admitted to hospital and took GLUCERNA 104g/ day before the operation. The patient drank 200ml pulsing 2 hours before the operation and resumed GLUCERNA 104g/ day after t
Sponsors
The Fourth Medical Center of the PLA General Hospital
Eligibility
Sex/Gender
All
Age
65 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. The patient to be operated on is more than 70 years old; 2, ASA: Class I and II; 3. Surgery for an intertrochanteric fracture of the femur or a fracture of the femoral neck; 4, clear consciousness, no psychoneurotic symptoms;5. Smooth communication in Mandarin.
Exclusion criteria
Exclusion criteria: 1.Need parenteral nutrition; 2. Patients with severe liver dysfunction (Child-PughC grade) ; 3. Patients with chronic kidney disease (stage 3b or above); 4.Patients with cardiac insufficiency; 5. Patients with communication difficulties; 6. thyroid disease;7. There were schizophrenia, epilepsy, Parkinson's disease and myasthenia gravis before operation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Insulin resistance index;Postoperative exhaust time;C-reactive protein;Self-rating anxiety scale;Pain score;Ramsay score;3D-CAM score;Mininutritional assessment short form;Diamine oxidase;D-Lactic acid;Endotoxin; | — |
Secondary
| Measure | Time frame |
|---|---|
| Vital signs;Blood loss;Adverse reactions;Satisfaction; | — |
Countries
China
Contacts
Public ContactLi Mengmeng
The Fourth Medical Center of the General Hospital of the People's Liberation Army
Outcome results
None listed