摘要
目的探讨重度颅脑损伤后早期不同营养途径的合理性及临床意义。方法将GCS≤8分的重度颅脑损伤患者随机分为试验组(肠内、肠外序贯营养支持组)、对照组(单纯肠内营养组,EN),每组各24例。结果两组病人营养治疗后血清白蛋白(ALB)、血红蛋白(HB)、总淋巴细胞计数(TLC)均明显升高,体重略下降。两组病人伤后21天时各项营养指标无明显差异(P>0.05)。结论重度颅脑损伤后早期肠外、肠内序贯营养支持等同于传统匀浆膳加用乳清蛋白。
Objective To in vestigate the rationality and clinical value of various approaches of nutrition support at the early stage for severe cranial trauma. Methods Severe trauma patients were randomized into two groups, namely the experimental group （intestinal and extra-intestinaf continuous nutrition support） and control group （intestinal nutrition support only）.Eaeh group composed of 24 patients. Results The albumin（ALB）, hemoglobin （HB） and total lymphocyte count （TLC） increased in both groups, while the body weight decreased slighdy, after nutrition support. At 21d after trauma, there was no significant difference between the nutrition index of both groups （P〉0.05）. Conclusions After severe cranial trauma, the intestinal and extra-intestinal continuous nutrition support is the same as traditional homogenate food plus laeto-globulin.
出处
《海南医学》
CAS
2007年第11期44-45,共2页
Hainan Medical Journal
关键词
重度颅脑损伤
营养支持
severe cranial trauma
nutrition support.
