摘要
目的 探讨重型颅脑损伤早期肠内营养的合理性与临床价值。方法 GCS≤ 8的重型颅脑损伤患者随机分为两组 :A组 32例 ,早期肠内营养 ;B组 36例 ,早期全胃肠外营养。两组营养支持均在伤后或术后 2 4小时开始 ,观察两组患者营养状况 ,胃肠道并发症及其他并发症的发生率及预后。结果 EEN组的营养状况优于TPN组 ,胃肠道并发症及其他并发症的发生率低于TPN组 (P <0 .0 5) ,预后亦较TPN组有明显改善 (P<0 .0 5)。结论 重型颅脑损伤后早期肠内营养可改善患者营养状况 ,减少并发症的发生 ,并改善预后。
Objective To study the rational and clinical value of early enteral nutrition in severe craniocerebral injuries.Methods The patients with severe craniocerebral injury (GCS≤8) were randomly divided into 2 groups: Group A (EEN),32 cases,Group B (TPN), 36 cases. They were given different nutritional supports in 24 hours after being injured or operation.Nutritional paramenters,complication and prognosis were observed.Results 20 days after being injured, body weight, blood albumin and blood hemoglobin in Group A were better than those in Group B (P<0.05).And the complication of Group A was less than that of Group B (P<0.05). The prognosis of Group A was better than that of Group B according to GOS prognosis evalution (P<0.05). Conclusion Early enteral nutrition might be favourable in improving nutritional condition,reducing complication and improving prognosis of severe craniocerebral injuries.
出处
《菏泽医学专科学校学报》
2000年第4期1-3,共3页
Journal of Heze Medical College
关键词
颅脑损伤
重型/治疗
肠内营养/治疗应用
全胃肠外营养/治疗应用
severe craniocerebral injury/therapy
enteral nutrition/therapeutic use
total parenteral nutrition/therapeutic use
