重型颅脑损伤患者早期肠内营养支持治疗的临床分析

Clinical Analysis of Early Enteral Nutrition Support in Severe Craniocerebral Injury

目的探讨早期肠内营养支持治疗在重型颅脑损伤患者救治中的效果及意义。方法将我院2006年8月至2007年4月收治的58例入选重型颅脑损伤病例随机分为治疗组和对照组，治疗组27例应用瑞代肠内营养乳剂早期持续肠内营养支持治疗，对照组31例按传统方法鼻饲流质，其余综合治疗两组无差异。分析两组病人的营养指标、并发症及预后情况。结果治疗组27例病人中，除1例因发生严重并发症而暂时中断外，其余病例均顺利地接受了瑞代早期肠内营养，且其营养指标及预后均明显优于对照组，并发症明显减少。结论肠内营养方便，经济，并发症少，可以提供患者所需要的营养素，且能增强免疫，减少感染；绝大多数病人能较顺利接受瑞代早期肠内营养支持治疗；早期胃肠内营养在重型颅脑损伤病人的治疗中非常重要，可明显降低致死率和致残率，应引起高度重视。

Objective To explore the application and importance of early enteral nutrition support in severe craniocerebral injury. Methods The patients with severe craniocerebral injury admitted to our hospital from Auguest 2006 to April 2007 were divided into treatment group and control group. The treatment group （27cases） received early enteral nutrition support and the control group （31cases） was supported with the conventional method the nasal feeding. At the same time, the complications during treatment were observed and the prognosis were judged. Results Except that 1 case was stopped because of severe complication, the patients were suitable to the early enteral nutrition support, which could supply the enough nutrition to the patients . The nutrition indices and prognosis in treatment group were more favorable than in control group, and complications in treatment group greatly; decreased. Conclusion The application of early enteral nutrition is convenient , economical and fewer complications, it can not only supply enough nutrition to patients, but also enhance the immunity and reduce the rate of infection. Most patients with severe craniocerebral injured were suitable to the early enteral nutrition support , which can greatly decrease the rate of morbidity and mortality and it is very important for the patients.