严重颅脑损伤患者早期肠内营养支持的临床意义

The significance of early enteric nutritional support in patients with severe head injury

目的 评价早期胃肠道营养支持对颅脑损伤早期营养支持的临床意义。方法 5 6例颅脑损伤患者随机分为肠内营养支持组和肠外营养支持组 ,每组 2 8例 ;营养支持前 1天及营养支持后第 3、10天测血清白蛋白、血糖、肝肾功能、电解质 ,每天观察相关并发症情况。结果 与肠外营养相比 ,早期肠内营养患者血清白蛋白水平增加 ,ALT和血糖减低 ,并发症少。结论 颅脑损伤早期肠内营养支持是安全和有效的 。

Objective To evaluate the clinical significance of early enteric support in patients with severe head injury.?Methods Fifty-six head injured patients were randomly assigned to 2 groups, one supported with enteric nutrients (28 cases) and the other with parenteral nutrients (28 cases). The serum glucose, liver functions and serum albumin were determined. Related complications were noticed daily. ?Results Less complications were found in the early enteric nutrition group, e.g. retarded recovery of blood albumin, hyperglycemia, increased ALT, constipation, gastroenteric bleeding, and infections.?Conclusion Early enteric nutritional support is safe and effective, better than the parenteral approach for patients with severe head injury.