两种肠内营养剂在重型颅脑损伤病人营养支持中的比较

目的探讨重型颅脑损伤病人肠内营养支持的方法和效果。方法将病人随机分为实验组(能全力组)和对照组(康尔良组),入院48小时内给予肠内营养支持,每天1000ml(1000Kcal),辅以流质食物加餐。比较两组血清白蛋白、TSF、AMC、体重等营养指标,比较意识恢复程度及胃肠道并发症的例数。结果实验组各项营养指标均高于对照组,差异有显著性(P<0.05),意识恢复程度(通过GCS评分)优于对照组,胃肠道并发症出现数低于对照组。结论重型颅脑损伤病人给予能全力肠内营养支持可有效地改善患者的营养状况,有利于病人的康复。

Objective TO investigate the methods and effects of intestinal nutritions in heavy brain injury patients.Methods Patients were divided into experiment group(Nutrison Multifibre) and contrast grou(p康 尔良组)randomly.They were given intestinal nutrition 1000 Kcal daily within 48 hours after their admission, appended by fluid food .compare the difference of these nutrition index like serum albumin,TSF ,AMC,and body weight.compare the exten of consciousness recovery and gastrointestinal complication incidence.Results Every nutrition index of the experiment group were higher than the contrast group distinctly.Consciousness of experiment group resume better,and got a lower incidence rate of gastrointestinal complication.Conclusion Sustained with Nutrison Multifibre will improve the nutritional condition,and will be favorable to their recuperation.