摘要
目的探讨低氮、低热量肠外营养支持对重度腹部创伤中的早期应用。方法选择80例重度腹部创伤患者,随机分为低氮、低热量组(研究组,n=40)和对照组(n=40),分别接受低氮、低热量和传统肠外营养治疗,观察两组的血糖水平、氮平衡、血浆蛋白水平、免疫指标和并发症的变化情况。结果与对照组相比,低氮、低热量组氮平衡改善,研究组血糖改善明显优于对照组(P<0.05),术后并发症的发生率明显降低(P<0.05),而血浆蛋白水平改变和免疫指标下降(P>0.05)。结论重度腹部创伤早期低氮、低热量肠外营养支持是一种安全、有效的治疗方法。
Objective To observe the role of hypocaloric and low nitrogen parenteral nutrition support in early severe abdominal trauma.Methods Eighty cases with severe abdominal trauma were randomly divided into control group（n=40）and study group（n=40）.Control group was treated with traditional parenteral nutrition and study group with hypocaloric and low nitrogen parenteral nutrition.The blood glucose level,nitrogen balance,serum albumin,immunity indexes and complications were analyzed.Results The blood glucose level and occurrence of postoperative complications were significantly lower in study group than in control group（P〈0.05）,but there was no significant difference in serum albumin and immunity indexes between the two groups（P〉0.05）.Conclusions The hypocaloric and low nitrogen parenteral nutrition support is safe and useful in severe abdominal trauma.
出处
《中国急救医学》
CAS
CSCD
北大核心
2008年第1期31-33,共3页
Chinese Journal of Critical Care Medicine
关键词
低氮
低热量
胃肠外营养
腹部创伤
Low nitrogen
Hypocalore
Parenteral nutrition
Abdominal trauma
