摘要
目的 探讨持续滴注的鼻饲方法作为弥漫性轴索损伤 (DAI)后早期肠内营养支持的临床应用和效果。方法 早期(伤后 48～ 72h)持续滴注鼻饲要素膳综合治疗DAI患者 3 5例 (GCS评分 4～ 8分 )与按传统方法伤后 7d鼻饲流质综合治疗的同类患者 3 5例比较。结果 GCS评分 5分以上的病人能较好地耐守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 ) ,神志恢复快 ,生存质量也显著改善。结论 持续滴注的鼻饲营养可安全地用于DAI早期 ,且对维护胃肠道结构和功能 。
Objective To evaluate the method and effect of nasogastric feeding as early nutritional support in diffuse axonal injury(DAI).Methods 35 patients of DAI were comprehensive treated by persistent nasogastric feeding with the element diet within 48～72 hours postinjury (stady group),and 35 patients nutritional supported with traditional method at 7days after injury were taken as control group.Results The study findings indicated that early nasogastric feeding regimen with continuous infusing was tolerated better in patients of GCS>5.Negative nitrogen balance nutritional index in the study group were significantly better than that of the control group(P<0 05),the study group had a significantly favorable outcome by the treatment of 3 months.Conclusions The continuous gastric feeding can safely be used to treat the DAI,early enteral nutrition may be beneficial to protect structure and function of gastrointestinal tract,it could promot recovery of nutritional state,and neurologic outcomes of the DAI too.
出处
《中国医师杂志》
CAS
2003年第2期189-191,共3页
Journal of Chinese Physician
关键词
早期
鼻饲
肠内营养
弥漫性轴索损伤
应用
Diffuse axonal injury(DAI)
Enteral nutrition(EN)
Nasogastic feeding
