完全肠外营养在破伤风患者中的应用及护理

A study of the application of total parenteral nutrition(TPN) in tetanic patients and nursing

目的探讨破伤风患者完全胃肠外营养(total parenteral nutrition,TPN)支持治疗的应用及护理对策。方法对39例破伤风患者在伤口处理、中和游离的毒素、控制抽搐、控制感染、水电解质平衡等综合治疗的基础上,应用TPN支持治疗,与1997年9月以前的未应用TPN支持治疗的39例破伤风患者进行对比分析。结果治疗组营养状况改善,机体恢复较快,免疫功能提高,体重减轻不明显,并发症少,住院时间短,仅1例因频繁抽搐窒息死亡。结论破伤风患者在综合治疗及护理的基础上,应尽早采取TPN营养支持,对维护脏器功能,增加免疫力,减少并发症,缩短病程以及改善预后均有重要的意义。

Objective： To investigate the application of total parenteral nutrition（TPN） as supporting therapy in tetanic patients and the nursing.Methods： TPN wa applied as supporting therapy on treatment group of 39 tetanic patients who received combined therapy,including wound care,neutralizing free toxin,convulsions and infection control and balancing water-electolyte,etc.Their therapeutic results were compared with those of the control group of 39 tetanic patients admitted before September 1997.The control group received no TPN but combined therapy.Results： The nutrition of the treatment group improved clearly,the patients recovered more quickly with enhanced immunity,no obvious weight loss,less complications and earlier discharge,except for 1 patient who died of asphyxia caused by repetitive spasm.Conclusion： TPN should be applied on tetanic patients as early as possible on the basis of combined therapy and nursing,which has great significance in protecting organ funtions,enhancing immunity,reducing complications,shortening the course and improving prognosis.