早期肠内与肠外强化营养支持在特大面积危重烧伤救治中的效果

Effect of early enteral and parenteral nutrition support on severe burns

目的探讨早期肠内、肠外强化营养支持在特大面积危重烧伤救治中的疗效。方法对2017年10月-2020年3月我院烧伤科收治的50例特大面积危重烧伤患者按随机数字表法分为对照组和观察组,每组25例。对照组实施肠外营养支持,观察组联合早期肠内强化营养支持。观察比较两组治疗前后的体重、营养生化指标[血清蛋白(ALB)、血红蛋白(HGB)、血清总蛋白(TP)]水平及并发症情况。结果治疗后,观察组的体重[(60.42±4.22)kg]、ALB[(65.26±3.87)g/L]、HGB[(96.17±5.87)g/L]、TP[(64.25±6.22)g/L]各指标水平均优于对照组[体重(56.02±3.25)kg、ALB(56.26±3.61)g/L、HGB(87.93±4.58)g/L、TP(57.83±4.6)g/L],差异均有统计学意义(均P<0.05);观察组的并发症发生率为12.0%,对照组为40.0%,两组并发症发生率比较差异有统计学意义(P<0.05)。结论特大面积危重烧伤救治中,采用肠内、肠外强化营养支持可提升患者营养状况,有利促进患者康复,降低并发症的发生。

Objective To analyze the curative effect of early enteral and parenteral enhanced nutrition support in the treatment of extremely large area critical burns.Methods This article analyzed 50 patients with extremely large-area critical burns admitted to the burn department.The patients were admitted to the hospital from October 2017 to March 2020 and were grouped by random labeling in the two groups,25 cases in the control group received parenteral nutrition support,and 25 cases in the observation group combined with early enteral fortified nutrition support.The nutritional biochemical indicators[serum protein(ALB),hemoglobin(HGB),and total serum protein(TP)].Treatment conditions and complications.Results The weight of the observation group after intervention was(60.42±4.22)kg,ALB was(65.26±3.87)g/L,HGB was(96.17±5.87)g/L,TP was(64.25±6.22)g/L.Better than the control group,body weight(56.02±3.25)kg,ALB(56.26±3.61)g/L,HGB(87.93±4.58)g/L,TP(57.83±4.6)g/L(P<0.05 for each);Observation group complications.The incidence was 12%(3 cases)in 1 case of aspiration pneumonia,1 case of gastric bloating,and 1 case of vomiting.In the control group,40%(10 cases)had 1 case of sepsis infection,1 case of aspiration pneumonia,2 cases of stomach distension,4 cases of vomiting,and 2 cases of diarrhea.The observation group was lower(P<0.05).Conclusion The application of enteral and parenteral intensive nutritional support in the treatment of extremely large areas of critical burns can improve the nutritional status of patients,promote their recovery,and reduce complications such as infection.