重型颅脑损伤后应激性消化道出血的预防及治疗分析

After Severe Brain Injury of Stress-induced Gastrointestinal Bleeding Prevention and Treatment Analysis

目的：分析重型颅脑损伤后应激性消化道出血的预防和治疗效果,以供临床工作参考。方法：重型颅脑损伤患者108例进行随机分组,均给予预防性应用奥美拉唑或兰索拉唑,观察组入院后12~24h早期给予肠内营养,对照组入院后48~72h给予肠内营养。比较两组患者应激性消化道出血的发生率。对出血患者实施止血处理,观察预后情况。结果：观察组应激性消化道出血发生率明显低于对照组（P〈0.05）。经止血处理后,观察组患者止血成功率明显高于对照组（P〈0.05）。结论：对重型颅脑损患者早期进行肠内营养支持,可有效预防和治疗应激性消化道出血,对患者预后有积极的临床意义。

Objective：Analysis of severe head injury stress gastrointestinal hemorrhage after prevention and treatment effect,for clinical reference work.Methods： 108 cases patients with severe head injury in were divided randomly into two groups,were given prophylactic application of omeprazole and lansoprazole,observation group was 12~24 hours after early enteral nutrition after admission,the control group 48~72 hours given enteral nutrition.Comparison of two groups of patients of stress-induced gastrointestinal bleeding incidence.On the implementation of the hemostatic treatment in patients with bleeding,observation and prognosis.Results：The observation group of stress-induced gastrointestinal bleeding incidence rate was significantly lower than the control group（P＆lt;0.05）.The hemostatic treatment,the patients in the observation group hemostasis success rate was significantly higher than the control group（P＆lt;0.05）.Conclusion：For patients with severe craniocerebral damage early enteral nutritional support,is effective in the prevention and treatment of stress-induced gastrointestinal bleeding,patients on prognosis.