摘要
目的观察分析肠内联合肠外营养支持对重型颅脑外伤患者的支持效果。方法选取我院2012年1月1日-2014年6月1日收治的重型颅脑外伤患者共计96例进行本项研究,采用回顾性分析,按照营养支持方式不同将96例患者分为对照组和观察组。对照组患者术后运用传统方法给予鼻饲,观察组患者联合肠外和肠内序贯营养。分别观察术后7d、14d、21d三个时间段患者各项机能恢复情况。记录分析两组术后患者体重、血清白蛋白含量、血红蛋白含量及总淋巴细胞计数情况。对比分析昏迷程度,并记录患者的GCS分值。患者术后病死情况,是否有肺部感染、褥疮症状发生,并进行相关病例数的记录。结果观察组患者治疗7d后,TLC浓度高于对照组,治疗14d的ALB、Hb和TLC均高于对照组,治疗21d后TLC高于对照组,差异有统计学意义（P〈0.05）,其余值无明显差异。观察组患者在病死例数、肺部感染例数和褥疮例数三方面均明显低于对照组,两组相比差异有统计学意义（P〈0.05）。观察组患者治疗7d、14d和21d之后的GCS评分均明显高于对照组（P〈0.05）。结论肠内联合肠外营养支持有利于重型颅脑外伤患者身体机能恢复,可改善患者康复情况,减少并发症的发生,提高了患者的生活质量,值得在临床重视应用。
Objective To observe and analyze the effect of nutritional support combined enteral and parenteral in patients with severe craniocerebral trauma. Methods 96 patients with severe craniocerebral trauma, who were cured in our hospital from Janury 1, 2012 to June 1, 2014, were selected as the research objects, and were divided into control group and observation group according to different methods of nutritional support. Control group was treated with traditional method of nasal feeding after operation, while observation group was treated with sequential nutrition combined enteral and parenteral after operation. To respectively observe recovery condition of various function after operration of 7d, 14 d, 21 d. To record body weight, content of serum albumin, content of hemoglobin, count condition of total lymphocytes. To comparative analyze coma dgree and to record GCS score. To record condition of death from illness, pulmonary infection or not, symptoms of bedsore, and related case number of patients after operation. Results TLC concentration after treatment of 7d of patients in observation group was higher than which in control group, ALB, Hb, TLC after treatment of 14 d of patients in observation group were higher than which in control group, TLC concentration after treatment of 21 d of patients in observation group was higher than which in control group, the differences were statically significant（P〈0.05）, while the others were no statistical significance. The cases of death from illness, pulmonary infection, bedsore in observation group were obviously lower than which in control group, the differences was statically significant（P〈0.05）, the GCS score after operration of 7d, 14 d, 21 d of patients in observation group were obviously higher than which in control group（P〈0.05）. Conclusion Utritional support combined enteral and parenteral in patients with severe craniocerebral trauma was beneficial to recover the physical function, improve the rehabilitation condition of patients, reduce the occurrence of complication, improve the life quality of patients, is worthy of clinical attention and application.
出处
《中国医药科学》
2015年第23期208-211,共4页
China Medicine And Pharmacy
关键词
肠内营养
肠外营养
重型颅脑外伤
Enteral nutrition
Parenteral nutrition
Severe craniocerebral trauma
