加速康复外科理念在特重烧伤患者营养支持中的应用研究

The application of fast-track surgery in nutritional support of patients with severe burns

目的 探讨加速康复外科理念在特重烧伤患者营养支持中的应用方法及效果.方法 将2008年10月至2013年2月住院的特重烧伤患者57例分为两组,试验组30例应用加速康复外科理念,采取早期经口进食;对照组27例留置胃肠减压管3～5d,期间需禁食.比较两组患者营养状况、肝功能、创面愈合时间和住院时间.结果 试验组患者血清白蛋白水平、谷丙转氨酶和谷草转氨酶数值、创面愈合时间及住院时间均优于对照组（P＜0.05）.结论 特重烧伤患者早期经口进食是安全有效的营养支持方法,值得临床推广.

Objective To evaluate the effects of fast-track surgery（FTS） in nutritional support of severe burned patients. Methods Fifty-seven patients with severe bums from October 2008 to February 2013 were divided into two groups. FTS was implemented in the experimental group（n=30） with early oral feeding,while the routine care was provided in the control group（n=27） in which the nasogastric decompression tube was kept for 3-5 days with fasting. The patients＇ nutritional status ,index of liver functions ,wound healing time and length of hospital stay were compared between the two groups. Results There were significant differences in the level of serum albumin,alanine aminotransferase and aspartate aminotransferase,wound healing time and length of hospital stay between the two groups（P〈0.05）. Conclusion Early oral feeding is proved to be safe and effective in severe bum patients with FTS. It deserves to be used in clinical practice.