急性颅脑损伤病人免感染营养支持的分析(英文)

The acute brain injured the patient to exempt the infection nutrition support to analyze

目的了解国内外急性颅脑损伤病人的营养支持,并就如何做到避免、减少感染并发症的发生作适当分析。资料与方法所借助的专业数据库:Medline、万方数据库数字化期刊、清华同方CHKD期刊全文库。在比较、归纳有关内容的基础上进行分析。结果共搜索到论著6篇,专题研究5篇,专题讲座8篇,相关报道13篇。急性颅脑损伤患者的营养支持途径主要为经胃肠外营养(PN)、全肠外营养(TPN)和胃肠内营养(EN)。在急性颅脑损伤早期进行营养支持已达成共识,但如何安排肠外营养与肠内营养的使用,一直有不同的主张。结论肠内营养支持比肠外营养支持更可以避免、减少本类病人因营养支持导致感染并发症的发生;对于本类病人进行营养支持可分为两阶段:第一阶段肠外营养支持与肠内营养支持同时进行,待脑损伤病情稳定后过渡到第二阶段全胃肠内营养支持。

OBJECTIVE Understood the domestic and foreign acute skulls damage patient's nutrition support,and how on achieves avoids or reduce infection illness complication occurrence makes the suitable analysis.MATERIAL AND METHOD Draws support specialized database:Medline,,wanfang data digitization periodical,Qinghuatongfang CHKD periodical entire library.In the comparison,in the induction related content foundation carries on the analysis.RESULTS Altogether searches to is discussing 6,Special study 5,Special course 8,Related report 13.The acute brain injures patient's nutrition support way mainly for to pass through outside the stomach and intestines the nutrition(PN),outside the entire intestines the nutrition(TPN) and in the stomach and intestines the nutrition(EN).Carries on the nutrition support in the acute brain injure early time to achieve the mutual recognition,how but arranges outside the intestines in the nutrition and the intestines the nutrition use,always has the different position.CONCLUSION In the intestines the nutrition support compares outside the intestines the nutrition support to be possible to avoid,to reduce this kind of patient because the nutrition support to cause the infection illness complication the occurrence;carries on the nutrition support regarding this kind of patient to be possible to divide into two stages:outside the first stage intestines in the nutrition support and the intestines also the nutrition support carries on,after waits the brain damage condition to be stable transits to the second stage entire stomach and intestines in the nutrition support.