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颅脑手术后病人的肠内营养支持 被引量:6

Enteral nutrition support in patients undergoing head operation
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摘要 目的:评价肠内营养支持在颅脑手术后病人中的应用。方法:对我院30例神经外科颅脑术后病人,从入院早期就开始经鼻胃插管实施肠内营养支持,早期用低渗型“三几全营素”,经2~3d过渡适应后,即改用常规型“三九全营素”。定期测定病人的血红蛋白(Hb)、血浆总蛋白(TP)、血清清蛋白(ALB),并观察肠内营养支持对胃肠并发症的影响。结果:①营养支持病人的血TP、ALB、Hb等指标均能维持在较为理想的水平;②未发生严重的胃肠并发症;③营养支持过程中,病人的肝、肾功能和糖、脂代谢均无明显异常。结论:“三九全营素”在颅脑术后病人的肠内营养支持中,具有效果良好和胃肠并发症少的特点。 Objective: To evaluate the earlg application of enteral nutrition(EN) support in the patients undergoing head operation. Methods: Enteral nutrition was used in 30 cases of patients earlg after the head operation. Use of low infiltration type of "999 trensine" for 2-3 days and gradual change to general type of "999 trensine" were practised. Hb,TP and ALB were measured and the gastrointestinal complications were observed. Results: ① TP,ALB and Hb were kept in perfect level;② No severe gastrointestinal complications were observed; ③No abnormalities of glucose,lipid metabolism and functions of liver and kidney were found. Conclusion : "999 trensine" can be used in the enteral nutrition support in the head postoperative patients and has little gastrointestinal tract complication.
出处 《肠外与肠内营养》 CAS 2006年第2期95-97,共3页 Parenteral & Enteral Nutrition
关键词 肠内营养 颅脑术后 营养支持 Enteral nutrition Head postoperative Nutrition support
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参考文献6

  • 1Yanagawa T,Bunn F,Roberts I,et al.Nutritional support for head-injured patients[ J ].Cochrane Database Syst Rev,2002,(3):CD001530.
  • 2Iacono LA.Exploring the guidelines for the management of severe head injury[J].J Neurosci Nurs,2000,32(1):54-60.
  • 3Jeejeebhoy KN.Enteral feeding[ J ].Curr Opin Gastroenterol,2005,21 (2):187-191.
  • 4Bowling TE.Enteral nutrition[J].Hosp Med,2004,65(12):712-716.
  • 5Sigalet DL,Mackenzie SL,Hameed SM.Enteral nutrition and mucosal immunity:implications for feeding strategies in surgery and trauma[J].Can J Surg,2004,47(2):109-116.
  • 6蒋宝泉,杨剑,唐蓉,曹艳芬,毛丹丹,常徽.自制复合全营养膳对重症病人肠内营养支持的临床应用[J].肠外与肠内营养,2004,11(2):89-92. 被引量:6

二级参考文献2

  • 1中国营养学会.推荐的每日膳食中营养素供给量[J].营养学报,1989,11(1):93-96.
  • 2杨必伟.婴儿营养[M].杭州:浙江大学出版社,1990.122-126.

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