摘要
目的:观察重型颅脑损伤应激高血糖病人应用低糖类肠内营养(EN)制剂的临床效果。方法:将60例病人随机分为试验组和对照组。试验组病人使用低糖类EN制剂(瑞代),对照组病人使用匀浆膳,均经鼻胃管滴入。观察两组病人治疗前后血糖,血清清蛋白(ALB),血清钾、钠、氯和血脂的变化。结果:EN支持后,试验组病人的血糖水平明显低于对照组(P<0.05);两组病人的ALB水平均明显升高,而血脂无明显变化。治疗14 d后,试验组病人需加用胰岛素的例数明显少于对照组(P<0.05)。结论:重型颅脑损伤高血糖病人选用合适的EN配方,能较好地控制血糖,提高治疗效果。
Objective： To investigate the treatment effect of rational enteral nutrition in hyperglycemia after severe brain injury.Methods： 60 patients were randomly divided into control group and study group.The control group was given homogenized diet and the study group was given low carbohydrate formula.Blood glucose,ALB,K^＋,Na^＋,Cl^-,TG,TC were measured before and after therapy.Results： After the nutrition treatment,patients biochemical indices of fasting blood-glucose,blood sugar 2 hours after meal in study group were significantly lower than control group（P〈0.05）.After 14 days,the cases of insulin use in study group were significantly lower than control group（P〈0.05）.Conclusion： The rational enteral nutrition can better contral blood sugar and improve thrapeutic effect for the severe traumatic brain injury patients with hyperglycemia.
出处
《肠外与肠内营养》
CAS
北大核心
2010年第4期203-205,共3页
Parenteral & Enteral Nutrition
关键词
肠内营养
重型颅脑损伤
高血糖
Enteral nutrition
Severe traumatic brain injury
Hyperglycemia
