早期饮食配合使用抗酸剂对重型颅脑损伤防治应激性溃疡的临床意义

The early diet coordination use antacid damages the preventing and controlling irritability ulcer to the heavy skull the clinical significance

目的探讨早期饮食及使用抗酸剂对重型颅脑损伤防治应激性溃疡的临床效果。方法将30例患者随机分成两组,实验组和酸剂对照组各15例。实验组患者留置胃管,第2天予流质饮食,并静脉使用奥美拉唑;对照组仅静脉预防性使用奥美拉唑。分别每日查胃液隐血情况14d。结果实验组应激性溃疡阳性率明显低于对照组(P<0.05)。结论重型颅脑损伤患者早期饮食配合使用奥美拉唑预防应激性溃疡优于仅预防性使用奥美拉唑。

Objective To approach the clinical effect of preventing and curing stress ulceration resulted from gravis type craniocerebral injury by early foodintake combining antacid.Methods 30 patients are divided randomly into experimental group and control group,each group 15 patients.All the patients of experimental group are implanted gastric tube,administrated liquid diet on the second day,and infused omeprazole intravenously;the patients of control group are only infused omeprazole prophylacticly.The occult blood of gastric juice of every patients is detcted every day for 14 days.Results The incidence rate of stress ulcer in experimental group is lower than control group obviously（P0.05）.Conclusion The effect of early foodintake combining antacid on preventing stress ulcer of gravis type craniocerebral injury patients is better than that of merely infusing omeprazile prophylacticly.