摘要
目的:探讨早期肠内营养支持对重型颅脑损伤患者的临床效果。方法:回顾性分析102例重型颅脑损伤不能自主进食而进行早期肠内营养患者的临床资料。鼻饲方法采用经鼻胃管法进行,早期应用全能营养素进行肠内营养,1周后改为"均营素",酌情加用谷氨酰胺和膳食纤维。结果:治疗后6个月按GOS评定预后,良好和轻残者30例(29.4%),中残35例,重残、植物生存者19例,死亡18例(17.6%)。入院后第7天,第14天和第30天时患者的各营养指标与入院时相比较无明显差异(P>0.05)。结论:对重型颅脑损伤患者早期肠内营养能较好地维持机体的营养状况,且具有简便、经济、安全、有效和符合生理等优点,对维护患者的胃肠道结构和功能、改善其营养状态和预后十分有益。
Objective：To investigate the clinical effects of early enteral nutrition on patients with severe brain injuries. Methods： A retrospective analysis of 102 cases of severe traumatic brain injuries treated by early enteral nutrition was performed. The all -round nutrition was given by enteral nutrition with nasogastric tube at early stage, the original nutrition was administered one week later, glutamine and dietary fiber were supplemented according to the condition of the patients. Results： The prognosis was evaluated by GOS after 6 months. Thirty patients were good or mild disabled （29.4%）, 35 were medium disabled, 19 became unconscious, and 18 patients died （ 17.6 % ）. No significant differences were observed after 7, 14, and 30 days of hospitalization （ P 〉 0.05 ）. Conclusion： Early enteral nutrition is a simple, economical, safe, and effective way to maintain the gastrointestinal tract structure and function, and improve the nutritional state and prognosis of patients.
出处
《西北国防医学杂志》
CAS
2013年第1期42-44,共3页
Medical Journal of National Defending Forces in Northwest China
关键词
重型颅脑损伤
肠内营养
观察
Severe brain injury
Enteral nutrition
Observation
