鼻肠管早期肠内营养辅以肠外营养支持在重型颅脑损伤中的应用研究

Early Enteral Nutrition Supplemented with Nasal Intestinal Parenteral Nutrition in Severe Traumatic Brain Injury Application

目的探讨应用鼻肠管早期肠内营养辅以肠外营养对重型颅脑损伤患者的可行性、安全性及临床效果。方法将82例重型颅脑损伤患者随机分为实验组与对照组各41例,实验组留置鼻肠管,对照组留置鼻胃管,均给予早期肠内营养辅以场外营养的营养支持方式,观察两组患者生活指标、生化指标、胃肠道耐受及并发症情况。结果营养支持后7d血清蛋白呈上升趋势,但两组比较无差异(P>0.05);两组血糖均较营养支持前下降,两组比较差异具有显著性(P<0.01);实验组并发症发生率比对照组明显降低(P<0.05)。结论鼻肠管早期肠内营养辅以场外营养能够较好的满足患者代谢需要,改善肠道功能,纠正代谢紊乱,减轻患者胃肠不耐受症状,减少并发症的发生。

Objective Early enteral nutrition nasal bowel supplemented parenteral nutrition in patients with severe head injury the feasibility, safety and clinical effect. Methods 82 patients with severe traumatic brain injury were randomly divided into experimental group and control group 41 patients in the experimental group nasal enteral tube indwelling,indwelling nasogastric tube control group were given enteral nutrition supplemented with nutritional support outside the nutrition, observed life indicators, biochemical, gastrointestinal tolerance and complications. Results The serum protein nutritional support 7d after the rise, but no difference between the two groups （P 〉 0. 05 ） ;the two groups before the decline in blood sugar than nutritional support, the difference was significant （ P 〈 0. 01 ） ; experimental group concurrent Disease incidence was significantly lower than control （ P 〈 O. 05）. Conclusion Nasal enteral nutrition supplemented with off - intestinal nutrition to better meet the metabolic needs of patients, improve bowel function, metabolic disorders, to reduce gastrointestinal intolerance symptoms, reduce complications.