期刊文献+

早期肠内营养支持对重症颅脑损伤患者预后的临床研究 被引量:10

Clinical research on prognosis of early enteral nutrition in patients with serious craniocerebral injury
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摘要 目的探讨重症颅脑损伤患者早期施行肠内营养干预与患者预后的相关性。方法 120例重症颅脑损伤患者随机分为2组:干预组采用十二指肠置管施行早期肠内营养,对照组采用传统的延迟性胃肠内营养,比较2组患者营养疗效及并发症。结果干预组血清总蛋白、白蛋白、外周淋巴细胞计数明显高于对照组。入院14 d后干预组颅内感染和肺部感染并发症的发生率明显小于对照组。结论对重症颅脑损伤患者给予早期肠内营养支持能明显改善患者的营养状况,减少颅内感染和肺部感染并发症的发生。 Objective To investigate the prognosis of early enteral nutrition in patients with serious craniocerebral injury.Methods One hundred and twenty patients with serious craniocerebral injury were randomly divided into intervention group and control group.The intervention group received enteral nutrition with duodenal tube,and the control group received the traditional delay of gastrointestinal nutrition.The clinical effect and complications were compared.Results The serum total protein,albumin,peripheral lymphocytes count in the intervention group were obviously higher than those in the control group.The rates of intracranial infection and lung infection in intervention group were obviously lower than those in the control group.Conclusion Early enteral nutrition can improve the nutritional status and reduce intracranial infection and lung infection complications of patients with serious craniocerebral injury.
出处 《实用临床医药杂志》 CAS 2012年第3期35-37,共3页 Journal of Clinical Medicine in Practice
基金 中国高校医学期刊临床专项资金(11220009)
关键词 肠内营养 颅脑损伤 重症 enteral nutrition; serious craniocerebral injury; prognosis;
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参考文献9

  • 1Obara H,Tomite Y,Doi M.Serum trace elements in tube-fed neurological dysphagia patients correlate with nutritionalindices but do not correlate with trace element intakes:caseof patients receiving enough trace elements intake[J].ClinNutr,2008,27(4):587.
  • 2Koretz R L,Avenell A,Lipman T O,et al.Does enteral nu-trition affect clinical outcome A systematic review of the ran-domized trials[J].Am Gastroentroenterol,2007,102(2):412.
  • 3刘慧,王国良.重型颅脑损伤患者早期肠内营养支持的临床效果观察[J].中国临床神经外科杂志,2011,16(6):357-359. 被引量:33
  • 4丁连安,黎介寿,李幼生,朱念庭,刘放南,谭力.创伤及内毒素对大鼠肠屏障功能的损害[J].中华实验外科杂志,2004,21(6):697-699. 被引量:19
  • 5梁大胜,杜正隆.早期肠内营养在重症监护室重型颅脑损伤中的临床研究[J].实用临床医药杂志,2011,15(9):115-116. 被引量:6
  • 6Krakau K,Hansson A,Karlsson T,et al.Nutritional treat-ment of patients with serious craniocerebral injury during thefirst six months after injury[J].Nutrition,2007,23(4):308.
  • 7Quenot J P,Plantefeve G,Baudel J L,et al.Bedside adher-ence to clinical practice guidelines for enteral nutrition in criti-cally ill patients receiving mechanical ventilation:a prospec-tive,multi-centre,observational study[J].Crit Care,2010,14(2):R37.
  • 8Hrtl R,Gerber L M,Ni Q,et al.Effect of early nutritionon deaths due to severe traumatic brain injury[J].J Neuro-surg,2008,109(1):50.
  • 9周敏,朱京慈,尹华华.乳酸杆菌对重型颅脑损伤大鼠胃内菌群的影响[J].中华创伤杂志,2011,27(7):654-658. 被引量:3

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