重症颅脑外伤患者引入以循证为基础的早期营养支持干预的效果分析

The effect analysis of evidence-based early nutritional support intervention in patients with severe craniocerebral trauma

目的探讨重症颅脑外伤患者引入以循证为基础的早期营养支持干预的效果。方法选择2017年5月-2019年5月本院神经外科收治的重症颅脑外伤患者108例,按随机数字表法分为2组,各54例;对照组术后行早期常规营养支持干预,观察组术后行以循证为基础的早期营养支持干预;比较2组肠内营养耐受性、治疗依从性、干预前后NIHSS评分、FMA评分变化及术后并发症发生率。结果观察组颅脑外伤后第7 d肠内营养最大输注量高于对照组(P<0.05);观察组治疗依从性优于对照组(P<0.05);观察组干预后NIHSS评分低于对照组,FMA评分高于对照组(P<0.05);观察组术后总并发症发生率低于对照组(P<0.05)。结论重症颅脑外伤患者引入以循证为基础的早期营养支持干预可改善肠内营养耐受性,提高治疗依从性,促进神经功能和运动功能恢复,降低术后并发症发生率。

Objective To investigate the effect of introducing evidence-based early nutritional support intervention in patients with severe craniocerebral trauma.Methods A total of 108 patients with severe craniocerebral trauma admitted to our hospital from May 2017 to May 2019 were enrolled. The patients were divided into two groups according to the random number table, 54 cases in each group. The control group received early routine nutritional support intervention, and the observation group underwent evidence-based early nutritional support intervention. The enteric nutrition tolerance, treatment compliance, NIHSS score, FMA score and postoperative complication rate were compared between the two groups.Results The maximum enteral nutrition infusion in the observation group was higher than that in the control group on the 7th day after injury(P<0.05). The treatment compliance of the observation group was better than that of the control group(P<0.05). The NIHSS score was lower in the observation group than that in the control group, and the FMA score was higher than that in the control group(P<0.05). The total complication rate of the observation group was lower than that of the control group(P<0.05).Conclusion The introduction of evidence-based early nutritional support intervention in patients with severe craniocerebral trauma could improve enteral nutrition tolerance and treatment compliance, promote the recovery of neurological and motor function, and reduce the incidence of postoperative complication.