早期肠内营养预防特重型颅脑损伤并发上消化道出血

Early Enteral Nutrition for the Prevention of Severe Craniocerebral Injury Accompanying with Upper Gastrointestinal Hemorrhage

目的:探讨早期肠内营养预防特重型颅脑损伤并发上消化道出血的机制和效果。方法:回顾性分析采用早期肠内营养(观察组)与晚期肠内营养(对照组)的特重型颅脑损伤患者的临床资料。结果:两组入院后第1、2、3周并发应激性溃疡出血的发生率比较,差异有统计学意义(P<0.05),其中入院后第1周并发应激性溃疡出血的发生率最高。结论:对特重度颅脑损伤患者进行早期肠内营养,可有效预防并发应激性溃疡出血的发生率、减少并发症、改善预后。

Objective：To explore the mechanisms and effects of early enteral nutrition on the prevention of severe craniocerebral injury accompanying upper gastrointestinal hemorrhage. Method：The clinical data of severe craniocerebral injury patients for the early enteral nutrition（the observation group）and delayed enteral nutrition（the control group）were retrospectively analyzed. Result：In 1,2,3 weeks,the stress ulcer bleeding incidence of two groups were compared,and the difference had statistically significant（P〈0.05）;the first weeks after admission patients had the highest incidence rate of complicated with stress ulcer bleeding. Conclusion：Early enteral nutrition on severe craniocerebral injury patients can be effectively prevent stress ulcer bleeding incidence,reduce complications and improve prognosis.