重型颅脑损伤病人早期营养支持治疗的临床研究

Early Nutrition Support in Patients with Severe Craniocerebral Injury

目的:探讨早期肠内营养对重型颅脑损伤患者救治的效果。方法:将72例入选病例随机分为两组,治疗组(36例)和对照组(36例),治疗组早期应用肠内营养乳剂治疗,对照组按传统方法鼻饲流质,其余治疗两组无差异。分析两组病人的生化指标、并发症及预后情况。结果:治疗组生化指标及预后均明显优于对照组(P<0.05),且并发症明显减少。结论:肠内营养方便、经济、并发症少;绝大多数病人能顺利接受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有着重要作用,可明显降低致残率和死亡率。

Objective： To discuss the effect of early enteral nutrition support on the patients with severe craniocerebral injury.Methods： Seventy- two patients with severe craniocerebral injurywererandomly divided into treatment group（36cases）and control group（36cases）. The patients in the treatment group received early enteralnutrition support and the patients in the control group received nasal feeding of liquid food. Blood biochemistry examination was performed and the complications were observed during the treatment. The prognosis was analyzed in all the patients. Results ： The nutrition indices and prognosis in the treatment group were significantly better than those in the control group（ P 〈 0.05 ）. The complications in thetreatment group significantly decreased compared to the control group. Conclusions： The application of early enteral nutrition is convenient and economical, most patients can smoothly receive the earlyenteral nutrition support, which can significantly decrease the disabled rate and mortality in the patients with severe craniocerebral injury.