摘要
目的 :探讨重型颅脑损伤早期肠内营养的可行性及临床意义。方法 :实验组 2 8例GCS <8分重型颅脑损伤患者伤后第 3d开始给予肠内营养。观察血浆清蛋白、血糖、外周血淋巴细胞计数、并发症发生率及预后。对照组常规治疗的 30例GCS <8分重型颅脑损伤患者。结果 :实验组血浆清蛋白及外周血淋巴细胞计数均高于对照组 ,尤以第 7d明显 (P <0 .0 5)。两组血糖差异无显著意义 (P >0 .0 5)。而实验组呕吐发生率 (7.1 % )与对照组 (6.7% )相近 (P >0 .0 5) ;肺部感染率及死亡率均明显低于对照组 (P <0 .0 5)。结论 :早期肠内营养有利于重型颅脑损伤患者神经功能恢复 ,减少并发症 。
objective:To study the feasibility and effect of early enternal nutrition in patients with severe head injury Methods:58 severe headinjured patients with Glasgow Cole Scales Less than 8 were divided into two groups,the control group and experimental group.30 patients in the control group were given routine therapy.28 patients in the experimental group were given routine therapy and enternal nutrition begun 3 days after injury.levels of serum albumin and blood glucose,lymphocyte amounts, complications and prognoses were observed.Results:the serum albumin and lymphocyte amounts in the experimental group were significantly higher than those in the control group after treatments of 7 days(P<0.05).There was no significant difference between the two groups' blood glucose levels(P>0.05).The incidence of vomiting in the experimen tal group(7.1%)was the same as that in the control group(6.7%)(P>0.05).The incidence of infection was significantly lower in the experimental group(17.8%)than that in the control group(26.78%)(P<0.05).Conclusion:The study suggests that early enternal nutrition therapy can prompt the recovery,reduce the complications and improve the prognosis in severe head injury.
出处
《杭州医学高等专科学校学报》
2000年第1期22-24,共3页
Journal of Hangzhou Medical College
