脑性胃肠功能不全165例临床分析

Clinical analysis of 165 cases of cerebral gastrointestinal dysfunction

目的探讨改善脑性胃肠功能不全（CGID）的预后措施。方法收集近两年急性颅脑损伤和脑血管意外病例共363例，其中有CGID165例，依据其临床表现分Ⅰ～Ⅳ级。2008年4月以后收治的病例（治疗组）均于早期即预防性应用大黄、丹参和抗酸剂，与此前一年收治的病例（对照组）比较（X2检验）。结果CGID分级与Glasgow计分呈负相关，即Glasgow计分愈少则CGID分级愈高；预防用药对CGID的发生和发展有较好的防治作用。结论CGID的分级有临床实用价值，预防用药能改善CGID患者症状、体征和预后。

Objective To improve the prognosis of the cerebral gastrointestinal dysfunction （CGID）. Methods 363 cases of acute brain injury and eerebrovaseular accidents over the past two years,containing 165 cases of CGID, and according to the clinical performance they were classified into Ⅰ～Ⅳ grades. The patients treated after April 2008 were subjected to preventive administration of dahuang, danshan, and antiacid drug, and compared （X2 test）with the control group. Results CGID grade was negative correlated with the Glasgow scoring. Prevention administration could effectively prevent the occurrence and progression of CGID. Conclusion The classification of the CGID is of clinically practical value, and preventive administration can improve the symptoms, signs and prognosis of CGID patients.