肠内外营养续贯性治疗对神经外科ICU患者免疫功能的影响分析

The Affecting Analysis of Patient's Immune Function that Neurosurgical ICU Treated by Enteral Parenteral Nutrition Continued Penetration

目的:探讨肠内、外营养续贯性治疗对神经外科ICU患者免疫功能的影响分析。方法:选择2014年1月至2015年5月我院接诊的100例神经外科ICU患者将其按随机数表法均分为对照组和观察组。观察组50例患者,采用肠内、外营养续贯性治疗;对照组50例患者,采用全胃肠外营养方法进行治疗。比较两组患者的外周血性免疫球蛋白、T细胞亚群变化以及14d之后出现并发症的情况结果:在治疗之后,发现观察组患者的IgM、IgG、IgA上升幅度显著优于对照组(P<0.05);在治疗之后,发现观察组患者的CD3、CD4、CD8明显优于对照组(P<0.05);观察组患者在14d之后出现并发症情况(12%)明显少于对照组(50%)(P<0.05)结论:肠内、外营养续贯性能够显著改善神经外科ICU患者的免疫功能,值得在临床上推广。

Objective：To evaluate the affecting analysis of patient＇s immune function that neurosurgical ICU treated by Enteral,parenteral nutrition continued penetration.Methods：Select January 2014 to May 2015 in our hospital admissions of 100 cases of neurosurgical ICU patients according to the random number table method were divided into a control group and observation group.Study group of 50 patients,the use of enteral nutrition therapy continued penetration;control group of 50 patients,treated by total parenteral nutrition methods of treatment.Two groups were compared in peripheral blood of immunoglobulins,T cell subsets and circumstances complications 14 days later.Results：After treatment,patients in the observation group was found IgM,IgG,IgA rise significantly better than the control group,statistically significant（P 〈0.05）;after treatment,found that patients in the observation group CD3,CD4,CD8 than the control group was statistically significant（P 〈0.05）;patients with complications of the observation group（12%） was significantly less than the control group（50%） after 14 days,there is statistically significant（P 〈0.05）.Conclusion：Enteral,parenteral nutrition continued coherence can significantly improve the neurosurgical ICU patient＇s immune function,should be promoted in clinical practice.