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目的探讨重型颅脑损伤患者早期肠内营养治疗的临床效果。方法 80例重型颅脑损伤患者,随机分为A、B两组,各40例。A组采用早期肠内营养支持,B组采用早期完全肠外营养支持。对比两组治疗效果。结果采用营养支持后,A组总有效率为97.5%,高于B组的82.5%,差异有统计学意义(χ2=5.00,P<0.05);A组患者营养指标血红蛋白、转铁蛋白、血清总蛋白及血清白蛋白消耗幅度明显低于B组,差异有统计学意义(P<0.05);A组患者并发症的发生率明显低于B组,差异有统计学意义(P<0.05)。结论重型颅脑损伤后采用早期肠内营养支持,可以降低营养指标的消耗幅度,很好地改善患者预后,提高临床疗效,降低并发症。
Objective To investigate the clinical effects of early enteral nutrition in patients with severe traumatic brain injury. Methods Eighty patients with severe head injury were randomly divided into A and B groups, 40 cases in each. Group A received early enteral nutrition support and Group B received early complete parenteral nutrition support. Compare the two groups treatment effect. Results After nutritional support, the total effective rate in group A was 97.5%, which was higher than that in group B (82.5%) (χ2 = 5.00, P <0.05). The nutritional indexes such as hemoglobin, transferrin, Total protein and serum albumin consumption rate was significantly lower than the B group, the difference was statistically significant (P <0.05); A group of patients with complications was significantly lower than the B group, the difference was statistically significant (P <0.05). Conclusion The use of early enteral nutrition support after severe craniocerebral injury can reduce the consumption of nutritional indicators, improve the prognosis of patients, improve clinical efficacy and reduce complications.