摘要
目的比较重症脑外伤后行早期肠内与肠外营养支持的营养指标及并发症发生率情况。方法将130例入住NICU的重度颅脑外伤患者随机分为观察组和对照组,分别接受肠内营养和肠外营养支持。结果 2组治疗后2周血红蛋白、转铁蛋白、总蛋白、白蛋白等营养指标差异无统计学意义(P>0.05);观察组院内感染的发生率明显低于对照组,机械通气时间明显少于对照组,差异有统计学意义(P<0.05);2组患者随访6个月,总死亡率及院内死亡率无显著差异(P>0.05),观察组神经功能状况明显优于对照组(P<0.05)。结论与肠外营养相比,早期肠内营养支持可较好地改善患者营养状况,并发症少,是重症脑外伤患者较好的营养支持方式。
Objective To compare the nutritional index and complications of enteral nutri- tion and parenteral nutrition of patients ith severe traumatic brain injury. Methods A total of 130 patients with severe traumatic brain injury（GCS score 3 -8） after admission were randomized to re- ceive enteral nutrition and parenteral nutrition. Results The nutritional index between the observa- tion group and the control group showed no statistical difference. Incidence of infection and the me- chanical ventilation time of the observation group was significantly lower than that of the control group（P〈0.05）. The in- hospital mortality and the 6- month mortality were similar in the two groups （P 〉 0.05）. The neurologic outcome according to Glasgow Outcome Score （GOS 4 - 5） at 6 months in the observation group was better than that in the control group （P 〈 0.05）. Conclusion Compared with parenteral nutritional support, enteral nutritional support could improve the severe traumatic brain injury patients. Nutritional condition has less complications, and could be used as a better method of nutritional support.
出处
《实用临床医药杂志》
CAS
2013年第19期125-127,共3页
Journal of Clinical Medicine in Practice
关键词
脑损伤
胃肠道营养
胃肠外营养
brain injury
enteral nutrition
pareteral nutrition
