摘要
目的 探讨持续滴注的鼻饲方法作为重症脑外伤后早期营养支持的临床应用和效果。方法 GCS评分 4～ 8分的脑损伤病人 92例作前瞻性研究 ,实验组于早期 (伤后 48小时 )持续滴注鼻饲要素膳 ,静脉营养补充不足 ;对照组按传统方法伤后 6天鼻饲流质。结果 GCS评分 5分以上的病人能较好地耐受持续滴注的鼻饲营养方法。实验组的氮平衡等营养指标均明显优于对照组 (P <0 0 5或P <0 0 1)、神志恢复快 ,生存质量也显著改善。结论 脑损伤早期可安全地实施持续滴注的鼻饲营养 ,静脉营养配合有利于为病人提供足够的营养底物 ,对维护胃肠道结构和功能 ,促进营养状态和预后恢复十分有利。
Objective To evaluate the method and effect of nasogastric feeding as early nutritionalsupport in severe head injuried patients. Methods 92 patients with severe head injury (GCS 5 7) were prospect studied. The patients of study group were fed gastrically with the element diet within 48 hrs post injury, and the patients of the control group were nutritional supported with common method on 8 days. Results Evidence indicated that early nasogastric feeding regnimens via continuous infusing was tolerared better in patients of GCS>5. Nitrogen cumultive balances, nutitional index of the study group were signficantly better than that of the control group (P<0 05～P<0 01), the study group had a significantly favorable outcome by the end of 3 months. Conclusions The early gastric feeding can be safely use, suppled with parenteral nutrition may be beneficial to improve gut function, nutritional state and neurologic outcomes of the severe head injured patients.
出处
《中华神经外科杂志》
CSCD
北大核心
2001年第3期162-164,共3页
Chinese Journal of Neurosurgery
基金
广东省卫生厅科研基金!资助 (B199914 8)
关键词
重度脑损伤
鼻饲肠内营养
胃肠道营养
Head injury Enteral nutrition Parenteral nutrition Metabolism
