论文部分内容阅读
目的观察重型颅脑损伤后早期肠内营养支持疗法的临床效果。方法将62例经临床或CT证实为重型颅脑损伤病例,随机分成观察组和对照组,分别早期给予肠内营养与肠外营养,对两组有关临床数据进行比较。结果观察组胃肠道功能好于对照组;上消化道出血发生率显著减少;氮平衡、ICr、白蛋白营养、血糖值指标优于对照组;伤后28天,观察组体重丢失少于对照组。随访3个月,观察组评定恢复良好多于对照组。结论早期肠内营养可维持胃肠道粘膜结构的完整性,促进消化吸收功能的恢复,减轻伤后分解代谢,促进营养和意识状态的改善。
Objective To observe the clinical effect of early enteral nutrition support therapy after severe craniocerebral injury. Methods Sixty-two cases of severe craniocerebral injury confirmed by clinical or CT were randomly divided into observation group and control group, enteral nutrition and parenteral nutrition were given respectively at the early stage, and the clinical data of the two groups were compared. Results The gastrointestinal function of the observation group was better than that of the control group. The incidence of upper gastrointestinal bleeding was significantly reduced. The indexes of nitrogen balance, ICr, albumin nutrition and blood glucose were better than those of the control group. At 28 days after injury, the weight loss of the observation group was less than that of the control group group. After 3 months of follow-up, the observation group recovered more well than the control group. Conclusion Early enteral nutrition can maintain the integrity of gastrointestinal mucosal structure, promote the recovery of digestion and absorption function, reduce post-trauma catabolism, and promote the improvement of nutrition and consciousness.