摘要
目的:探讨早期肠内营养护理对脑外伤昏迷患者的营养指标和免疫功能的影响.方法:选取2013-01/2013-12奉化市人民医院60例脑外伤昏迷患者按照双盲法分为研究组与对照组,均30例.对照组肠外营养支持与处理,研究组早期肠内营养护理,观察两组患者营养指标和免疫功能的变化.结果:护理后研究组血浆白蛋白(albumin,ALB)、血浆前白蛋白(prealbumin,PA)和血红蛋白(hemoglobin,Hb)水平与对照组比较,差异有统计学意义(34.7 mg/dL±5.7 mg/dL vs41.7 mg/dL±6.3 mg/dL,125.7 pg/dL±11.7 pg/dL vs 204.4 pg/dL±13.6 pg/dL,114.7 mg/dL±17.8 mg/dL vs 126.7 mg/dL±18.4 mg/dL,均P<0.05).护理后研究组CD4+、CD4+/CD8+、IgA、IgG、IgM水平与对照组比较,差异也有统计学意义(P<0.05).结论:临床中对于脑外伤昏迷患者早期实施肠内营养支持与护理是可行的,能够较好的改善患者的营养指标,并提高其免疫功能,值得临床中应用与推广.
AIM： To investigate the effects of early enteral nutrition on nutritional indicators and immune function in coma patients with brain trauma. METHODS： Sixty coma patients with traumatic brain injury coma treated at our hospital from January 2013 to December 2013 were divided into either a study group or a control group, with 30 patients in each group. The control group received parenteral nutrition support and treatment, and the study group was given early enteral nutrition care. Nutritional indicators and immune function were compared between the two groups of patients. RESULTS： After nursing case, albumin, prealbumin and hemoglobin levels were significantly lower in the control group than in the study group（34.7 mg/dL ± 5.7 mg/dL vs 41.7 mg/dL ± 6.3 mg/dL, 125.7 pg/dL ± 11.7 pg/dL vs 204.4 pg/dL ± 13.6 pg/dL, 114.7 mg/dL ± 17.8 mg/dL vs 126.7 mg/dL ± 18.4 mg/dL, P 0.05）, and CD4＋, CD4＋/CD8＋, IgA, IgG, and IgM were significantly better in the study group than in the control group（P〈0.05）. CONCLUSION： Early implementation of enteral nutrition support and care is feasible in coma patients with traumatic brain injury, and can better improve the nutritional indicators and immune function.
出处
《世界华人消化杂志》
CAS
北大核心
2014年第31期4849-4852,共4页
World Chinese Journal of Digestology
关键词
脑外伤昏迷
早期肠内营养支持
护理
营养指标
免疫功能
Traumatic brain injury coma
Early enteral nutrition
Nursing
Nutrition indicators
Immune function
