摘要
目的 探讨肠内营养干预联合床头抬高角度干预在重症颅脑损伤患者的临床效果。方法 选取2023年03月-2024年03月在我院确诊并进行治疗的80例重症颅脑损伤患者作为研究对象,按照随机对照法将其分为对照组患者40例与研究组患者40例,对照组患者通过肠内营养干预治疗,研究组患者肠内营养干预联合床头抬高角度干预治疗。对比两组患者不同干预方式的营养状况、病情状况、颅内压、脑灌注压、护理满意度及并发症发生率。结果 研究组患者营养状况显著优于对照组患者(P<0.05);研究组患者健康评分和神经功能评分显著低于对照组患者(P<0.05),研究组昏迷程度评分和运动功能评分显著高于对照组患者(P<0.05);研究组患者护理满意度明显高于对照组患者(P<0.05);研究组患者并发症情况显著低于对照组患者(P<0.05)。结论 对于重症颅脑损伤患者采用肠内营养干预联合床头抬高角度干预临床疗效更佳,可提高患者营养状况和病情状况,颅内压及脑灌注压恢复情况更佳,值得临床大力推广应用。
Objective to explore the clinical effect of enteral nutrition intervention combined with bed head elevation angle intervention in patients with severe craniocerebral injury. Methods 80 patients with severe craniocerebral injury diagnosed and treated in our hospital from March 2023 to March 2024 were selected as research subjects, and were divided into 40 patients in the control group and 40 patients in the research group according to the randomized control method;patients in the control group were treated by enteral nutrition intervention, and patients in the research group were treated by enteral nutrition intervention combined with head-up angle intervention. Compare the nutritional status, condition, intracranial pressure, cerebral perfusion pressure, nursing satisfaction and complication rate of the two groups of patients with different intervention methods. Results The nutritional status of patients in the study group was significantly better than that of patients in the control group(P<0.05);the health status and neurological function scores of patients in the study group were significantly lower than those in the control group(P<0.05);coma and motor function scores were significantly higher than in the control group(P<0.05);satisfaction with medical care was significantly higher(P<0.05);complications were significantly better in the study group than in the control group(P<0.05). Conclusion For patients with severe craniocerebral injury, the clinical efficacy of enteral nutrition intervention combined with bed-head elevation angle intervention is better, which can improve the nutritional status and condition of patients, and the recovery of intracranial pressure and cerebral perfusion pressure is better, and it is worthwhile to vigorously promote the application of the clinic.
作者
卓宏亚
王燕
李维嘉
孙文青
ZHUO Hongya;WANG Yan;LI Weijia;SUN Wenqing(Zhengzhou People's Hospital Neurointensive Care Unit,Zhengzhou,Henan 450000)
出处
《航空航天医学杂志》
2025年第5期585-588,共4页
Journal of Aerospace medicine
基金
2019年度河南省医学科技攻关计划(联合共建)项目多频段前庭功能检测在前庭神经炎康复期的临床评估,(LHGJ20191249)。
关键词
肠内营养干预
床头抬高角度
重症颅脑损伤
应用价值
enteral nutrition intervention
bed head elevation angle
severe craniocerebral injury
application value
