摘要
目的观察重症颅脑损伤患者早期肠内营养支持的临床效果。方法将70例重症颅脑外伤昏迷患者随机分为早期肠内营养支持组(观察组)36例和传统营养组(对照组)34例,对两组治疗前后及组间各项营养指标进行比较。结果治疗2周后,观察组和对照组患者血清总蛋白(TP)、血清白蛋白(ALB)、血清前白蛋白(PALB)均较入院时增高,差异有统计学意义(P<0.05)。组间比较,治疗后的TP、ALB、PALB在观察组的改善情况均优于对照组,差异有统计学意义(P<0.05)。对照组并发症发生率高于肠内营养组(P<0.05)。结论早期肠内营养支持治疗可改善重症颅脑损伤患者的营养状况,减少并发症,改善预后,促进恢复。
Objective To observe the clinical effects of early enteral nutritional support in patients with severe traumatic head injury.Methods 70 comatose patients with severe traumatic head injury were randomly divided into early enteral nutrition group（observation group） 36 cases and conventional nutrition group（control group） 34 cases,the nutritional indicators in the two groups before and after treatment and between the two groups were compared.Results After 2 weeks for treatment,serum total protein（TP）,serum albumin（ALB）,prealbumin（PALB） in the observation group and control group were higher than those of admission,the difference was statistically significant（P 0.05）.Between the two groups TP,ALB,PALB improvements after treatment in the observation group were better than those of the control group,the difference was statistically significant（P 0.05）.Complication rate of the control group was higher than enteral nutrition group（P 0.05）.Conclusion Early enteral nutritional support can improve the nutritional status in patients with severe traumatic brain injury,reduce complications,improve the prognosis and promote the recovery.
出处
《临床医学工程》
2011年第4期599-600,共2页
Clinical Medicine & Engineering
关键词
颅脑损伤
早期肠内营养
预后
Traumatic brain injury
Early enteral nutrition
Prognosis
