严重脑损伤后早期肠内营养支持的合理应用

Reasonable application of early enteral nutrition support after severe brain damage

目的探讨严重脑损伤后早期肠内营养支持的合理应用。方法选择本院收治的重症颅脑损伤患者100例,随机分为实验组和对照组,实验组(50例)采用了早期鼻饲要素膳,对照组(50例)按常规方法实施鼻饲营养支持;实验组开始时间为伤后48h,对照组为伤后6～8d。结果患者对早期通过胃管滴注胃肠营养液有较好的耐受性,喂养计划切实可行。与对照组相比,实验组获得较优的氮平衡,血清白蛋白、肌酐身高指数、体重等营养指标均明显改善(P<0.05)。结论早期鼻饲要素膳对改善颅脑损伤患者营养状况有重要的临床意义。

Objective To explore the reasonable application of early enteral nutrition in severe brain injury. Methods 100 cases of patients with severe craniocerebral injury admitted in our hospital were randomly divided into experimen- tal group and control group, the 50 cases of patients in experimental group were given enteral nutrition support with nasal feeding, and 50 cases of patients in control group were given conventional nutritional support; start time of nutri- tion support in experimental group was 48 h after injury, that of control group was 6 to 8 days after injury. Results The tolerance of patients with early parentera｜ nutrient solution through a stomach tube drip was better and the feeding program was feasible. Compared with the control group, the experimental group got better nitrogen balance , serum al- bumin, ereatinine height index, weight and other nutritional indicators improved significantly （P 〈 0.05）. Conclusion Early nasogastric elemental diet has important clinical significance in improving the nutritional status of patients.