严重多发性创伤胃肠外营养的疗效分析

The effects of total parenteral nutrition in multipletrauma patients.

作者分析了４７例严重多发性创伤伤员（ＩＳＳ≥１６）全胃肠外营养（ＴＰＮ）的治疗效果。随机选择了４７例严重多发伤伤员，ＩＳＳ平均２０．１６。经过１周以上的中心静脉的正规ＴＰＮ治疗后，末梢血淋巴细胞计数，血浆白蛋白水平提高（ｔ检验Ｐ＜０．０５）。另外设对照非ＴＰＮ组６６例，ＩＳＳ平均２０．５０。具有同等的创伤严重程度，ＩＳＳ评分与ＴＰＮ组相比无差异（Ｐ＞０．０５）。两组病例均对原发创伤进行了积极的治疗，而对照组无ＴＰＮ治疗。疗效对比如下：ＴＰＮ与非ＴＰＮ组病死率之比为２．１３％比１３．６７％（Ｘ２＝４．５８，Ｐ＜０．０５）差异有统计学意义。结果表明：ＴＰＮ是严重多发性创伤重要的有效支持治疗措施。

his paper reported.the results of the effects of totalparenteral nutrition (TPN) on the multiple trauma patients. 113 patients were radomly divided into twogroups-TPN and non TPN group. The average of ISSis 20. 16 in TPN group and 20. 50 in non TPN group.Statistical analysis showed no difference in the severityof trauma (P>0. 05). After support of TPN, the levelsif serum albumine and blood lymphocyte count wereimproved (p<0.05). The difference of mortality tween TPN group (2. 13% ) and non TPN group(13.67%)is significant statistically (x2= 4. 58, P<0. 05).The authors came to the conclusion that TPN isan important and effective measure of nutritional support for the multiple trauma patients.