摘要
目的 探讨持续滴注的鼻饲方法在重症脑出血术后早期营养支持的临床应用和效果。方法 对GCS评分 4～ 8分的脑出血患者 61例作前瞻性研究 ,实验组于早期 (伤后 2 4h)持续滴注鼻饲要素膳 ,静脉营养补充不足 ;对照组按传统方法伤后 4d鼻饲流质。结果 GCS评分 4分以上的患者能较好地耐受持续滴注的鼻饲营养方法。实验组的氮平衡等营养指标均明显优于对照组 (P <0 .0 5或P <0 .0 1 )、神志恢复快 ,生存质量也显著改善。结论 脑损伤早期可安全地实施持续滴注的鼻饲营养 ,配合静脉营养有利于为患者提供足够的营养物 ,对维护胃肠道结构和功能 。
Objective To evaluate the application and effect of nasogastrie feeding as early nutritional support on postoperative patients with severe hypertensive cerebral hemorrhage. Methods 61 postoperative patients with severe hypertensive cerebral hemorrhage (GCS 4-8) were performed prospective studied.The patients of study group were fed gastrically with the element diet within 24 hours after operation,and the patients of the control group were nutritional supported with common method 4 days after operation. Results Evidence indicated that early nasogastric feeding regnimens via continuous infusing was tolerated better in patients of GCS>4. Nitrogen cumulative balances,nutritional index of the study group were significantly better than that of the control group (P<0.05～P<0.01), the study group had a significantly favorable outcome by the end of 3 months. Conclusion The early gastric feeding can be safely used,supplied with parenteral nutrition may be beneficial to improve gut function,nutritional state and neurologic outcomes of the patients with severe hypertensive cerebral hemorrhage after operation.
出处
《中国煤炭工业医学杂志》
2004年第6期496-497,共2页
Chinese Journal of Coal Industry Medicine
关键词
脑出血
术后
鼻饲
肠内营养
临床应用
cerebral hemorrhage
enteral nutrition
parenteral nutrition
metabolism
