非胃肠道手术严重多发伤患者早期肠内营养分析

Analysis of the Early Enteral Nutrition in Patients with Severe Multiple Injuries Treated by Non-gastrointestinal Surgery

目的分析非胃肠道手术严重多发伤患者早期肠内营养的应用效果。方法随机择取在该院接受治疗的且于2013年1月—2015年10月期间入院的患者60例,对这60例患者按奇数、偶数诊疗的先后顺序分组,一组给予早期静脉营养支持(参照组30例),而另一组给予早期肠内营养支持(研究组30例)。对两组非胃肠道手术严重多发伤患者经不同营养支持后的前白蛋白、白蛋白、总蛋白以及肛门排气时间进行观察比较。结果治疗后参照组与研究组的前白蛋白、白蛋白、总蛋白差异显著(P<0.05)。参照组与研究组之间的肠道功能恢复时间差异显著(P<0.05)。结论对非胃肠道手术严重多发伤患者进行早期肠内营养支持,临床效果显著,患者的营养状况恢复以及肠道功能恢复良好,值得推广。

Objective To analyze the application effect of early enteral nutrition in patients with severe multiple injuries treated by non-gastrointestinal surgery. Methods 60 cases underwent inpatient treatment in our hospital from January 2013 to October 2015 were selected. In accordance with the order of admission, the patients were divided into the reference group（30 cases with the odd number treated by early parenteral nutrition support） and the study group（30 cases with the even number treated by early enteral nutrition）. The prealbumin, albumin and total protein levels and anal exhaust time of the two groups were observed and compared. Results After treatment, the differences in the levels of prealbumin, albumin and total protein between the reference group and the study group were statistically significant（P〈0.05）. The recovery time of intestinal function between the reference group and the study group was statistically significant（ P0.05）. Conclusion Early enteral nutrition support can achieve good recovery of nutritional status and intestinal function with significant clinical effect in patients with severe multiple injuries treated by non-gastrointestinal surgery, so it is worth promoting.