早期肠道营养对严重烧伤患者康复的影响

Effects of early enteral feeding on the prevention of enterogenic infection in severely burned patients

目的通过对早期肠道营养抑制肠内感染的分析探讨对严重烧伤患者康复的影响。方法22例严重烧伤患者随机分组为早期肠道营养组(EF)和延迟肠道营养组(DF)。烧伤后1、3、5d分别测每位患者的血清内毒素水平。结果严重烧伤患者的血清内毒素水平明显高于正常人群(P<0.01)。早期肠道营养组的血清内毒素水平明显低于延迟肠道营养组(P<0.01)。结论早期肠道营养可以减少肠源性感染,有利于营养支持,改善患者体质,增强机体抵抗力,促进损伤组织的修复,有利于烧伤患者的康复。

Objective To analyse the effects of early enteral feeding on the prevention of enterogenic in severely burned patients.Methods A total of 22 patients with severe burns were randomly divided into an early enteral feeding group（EF）and a delayed enteral feeding group（DF）.The levels of serum endotoxin were detected in the members of both groups in 1,3 and 5 days postburn.Results The levels of serum endotoxin in severely burned patients were significantly higher than in normal subjects（P〈0.01）.The levels of serum endotoxin in the EF group were significantly lower than in the DF group（P〈0.01）.Conclusion Early enternal feeding may decrease enterogenic infection and it helps the nutrition supprt improve the patients resistance.Facilitate the repair of damaged tissue,so it contributes to the rehibilation of burned patients.