重度颅脑损伤患者早期实施肠内营养支持治疗体会

Early Implementation of Enteral Nutrition Support in PatientsWith Severe Brain Injury

目的探讨早期肠内应用对重度颅脑损伤患者的临床影响。方法将60例重度颅脑损伤患者分为研究组(早期肠内营养及肠外营养)和对照组(应用肠外营养和肠内营养序贯疗法),比较两组临床影响。结果治疗后,治疗组血浆总蛋白、血清白蛋白高于对照组(P<0.05)。治疗组并发症低于对照组(P<0.05)。结论早期肠内营养治疗有助于促进重型颅脑损伤患者康复,改善营养状况,减少并发症发生率。

Objective To investigate the clinical effect of early enteral application on patients with severe craniocerebral injury. Methods 60 cases patients with SCI were randomly divided into the research group（used EEN and PN） and the control group（used PN and EN sequential therapy）. The curative effect of two groups were compared. Results After treatment, the plasma total protein, serum albumin of the treatment group was obviously higher than that of control group（P〈 0.05）. The complication incidence of treatment group was obviously lower than control group（P〈0.05）. Conclusion EEN has lots of advantages, such as promote rehabilitation, improve nutritional status, reduce the complications.