肠外营养治疗破伤风的作用比较

Parentenu nutrition in the treat ment of tetnus etlelts comparison

目的探讨破伤风病人完全胃肠外营养(TPN)支持治疗的应用及护理对策。方法对39例破伤风患者在综合治疗的基础上,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。结果治疗组营养状况和免疫功能均有改善,体重减轻不明显,住院时间短,并发症少。结论破伤风病人在综合治疗及护理的基础上,应尽早采取TPN营养支持,可以增加免疫力、减少并发症、维护脏器功能,预后良好。

Objective Investigate the application of total parenteral nutrition（TPN） as supporting therapy in tetanic patients and its nursing. Methods Apply TPN as supporting therapy on treatment group of 39 tetanic patients who have received combined therapy include wound care, neutralizing free toxin, convulsions and infection control and balancing water-electolyte, etc. Their therapeutic results were compared with control group of 39 tetanic patients admitted before september 1997 . The control group received no TPN but combined therapy. Results The nutritional situation of 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 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. It has great significance as to protecting organ funtions, enhancing immunity, reducing complications, shortening the course and improving prognosis.