创伤性颅脑损伤患儿营养支持研究进展

Study of the nutrition support on traumatic brain injury children

创伤性颅脑损伤患儿处于高度营养风险状态,合理的营养支持有助于患儿创伤后恢复以及减少相关并发症的发生。创伤后及时正确评估患儿胃肠功能状态,并制定合理的营养支持方案,是临床治疗成功的关键。文章就创伤性颅脑损伤患儿能量代谢特点、营养支持时机和途径,以及创伤后胃肠功能损伤作一综述,为更合理规范创伤性颅脑损伤患儿的营养管理,有效预防创伤后胃肠功能损伤提供依据和建议。

Traumatic brain injury （TBI） children have their own characteristics of energy metabolism. Reasonable nutrition support on neurosurgery patients is very helpful for the postoperative recovery and the prevent of the complications. Reasonable nutritional support based on early assessment of the gastrointestinal function, is the key factor for successful treatment. In this pape, energy expenditure in TBI children, time and route of nutrient Intake,and acute gastrointestinal injury （AGI） were reviewed in hope to achieve more rational and standardized management for TBI children, and provide more reasonable advise to control AGI.