重型颅脑损伤早期营养支持的合理应用

The appropriate application of nutrition therapy in patient with severe craniocerebral injury

目的探讨重型颅脑损伤病人营养支持的方法及合理性。方法对45例重型颅脑损伤病人伤后即实施肠外营养（PN）及肠内营养（EN），对照组42例采用传统的营养支持。观察血糖，白蛋白，淋巴细胞计数，并发症发生率及预后。结果观察组7天、14天的血糖控制程度、血浆白蛋白及外周血淋巴细胞总数未出现明显异常，肠内营养期间无严重腹泻，腹胀等并发症。均好于对照组。结论重型颅脑损伤后进行合理营养支持对预后有重要的临床价值，可提高重型颅脑损伤病人的救治成功率，降低并发症和死亡率。

Objective To investigate the sequent use of nutrition support in patient with severe cerebral injury. Methods 45cases with PN and EN nutritional support were in observe group, and 42 cases in control group. later, All the patients received the rationed nitrogen and calorie, containing nutritional support via different pathway. Blood glucose, albumin, peripheral blood lymphocyte count and complication were observed .Results The outcome of observe group was superior to that of control group. Conclusion Available nutritional support to the patient with severe craniocerebral injury plays an important role in the improvement of their prognosis.