摘要
目的 :探讨大面积烧伤病人胃肠内外营养支持的方法及疗效。方法 :6 1例大面积烧伤病人 ,第一期采用烧伤 1号方 ,以胃肠外营养为主 ,辅以中药材配制的烧伤饮料 ;第二期采用烧伤 2号方 ,以静脉营养与胃肠内营养相结合 ;第三期采用烧伤 3号方 ,以胃肠道营养为主 ,并监测病人体重、蛋白质代谢、创面愈合天数及免疫能力。结果 :6 1例病人除 1例死亡外 ,80 %病人在治疗 4～ 6周后 ,体重恢复正常 ,其余体重丢失控制在 10 %以内 ,血浆白蛋白、转铁蛋白、前白蛋白及CD+4 细胞水平也恢复正常 ,创面愈合时间也明显缩短。结论 :该实验采用的营养支持疗法可满足重度烧伤病人对热能及各类营养素的需求 ,增强免疫能力 ,减少感染和并发症 ,降低死亡率 ,是一种较有效的营养支持疗法。
Objective: To investigate the effects methods of enteral and parenteral nutritional support of severe burn. Methods: Patients were supported in the first period mainly with parenteral nutrition, in the second period with enteral and parenteral nutrition, and in the third period with enteral and parenteral nutrition, and in healing period mailing with enteral nutrition. The clinic effects were evalued to observe effect of enteral and parenteral nutritional support on protein, catabolism, immuncompetence, and healing time of burn wound. Results: 60 out of 61 cases were fully recovered and one of case was died. The weight remained in 80% of the patients and loss of weight was controlled under 10% in 20% of the patients. The patients had the normal serum levels in albumin, transferring, prealbumin and CD4+ cells after nutritional support for 4～6 weeks. The healing time was significantly shortened. Conclusions: This nutritional support may satisfy the requirements of energies and nutrients, strengthen the immucompetence and reduce the complication. It is one of major therapies to severe burn.
出处
《中国现代医学杂志》
CAS
CSCD
2000年第11期11-13,共3页
China Journal of Modern Medicine
关键词
烧伤
治疗
蛋白质
代谢
营养支持
Burns Therapy
Protain Catabolism
Enteral and Parenteral Nutritional
