摘要
目的调整鼻饲的营养膳配方以降低腹泻发生率。方法重型颅脑损伤患者（GCS≤8分）98例，随机分成3组，分别给予能全素、三九营养膳和改良营养膳鼻饲，观察各组鼻饲后3W内的腹泻发生率和腹泻持续时间。结果营养膳组、改良膳组均较能全素组的腹泻发生率降低（P〈0．01），改良膳组也比营养膳组的腹泻发生率低。营养膳组、改良膳组均较能全素组的腹泻持续时间短（P〈0.05），营养膳组与改良膳组的腹泻持续时间无显著性差异。结论膳食中的谷氨酰胺和膳食纤维可能与腹泻发生率下降有关。
Objective Enteral nutrition by nasogastric tube in severe patient may give rise to frequent diarrhea. Modifying nutrient composition in diet so as to reduce the rate of diarrhea. Methods Patient with severe cranial injury （ Glasgow score less than 8 ） were devided randomly into three groups, surplied with Nutrison, 999 balance meals plus 999 protein meals and modified 999 nutriental meals respectively, and recorded the rate of diarrhea in 1, 2 and 3 week. Results The rate of diarrhea in groups with 999 balance meals plus 999 protein meals and modified 999 nutriental meals were lower than in group with Nutrison （P 〈0. 01 ） . And diffirence in the rate of diarrhea between prior groups was significant. The duration time of diarrhea in groups with 999 balance meals plus 999 protein meals and modified 999 nutriental meals were shorter than in group with Nutrison （ P 〈 0. 05） . But diffirenee in the duration time of diarrhea between prior groups was insignificant. Conclusion Glutam/de and fibrin in diet may helpful to reducing the rate of diarrhea in patients with severe cranial injury.
出处
《国际护理学杂志》
2009年第3期306-308,共3页
international journal of nursing
关键词
改良营养膳
腹泻
重型颅脑损伤
Modified nutrient meals
Diarrhea
Severe cranial injury
