摘要
目的:分析肠内营养支持时机对重型颅脑外伤术后患者恢复的影响。方法:2018年1-12月收治重型颅脑外伤患者87例,均实施手术治疗,按照术后不同肠内营养时间分为两组。观察组给予早期肠内营养支持(术后24~48 h);对照组采用延迟肠内营养支持(术后48 h后)。比较两组患者术后胃肠功能恢复情况及营养状况。结果:观察组达到目标喂养时间、初次排便时间及入住ICU时间均短于对照组,差异有统计学意义(P<0.05)。观察组营养治疗7 d后白蛋白、血红蛋白水平均高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:早期肠内营养支持可改善重型颅脑外伤术后患者胃肠功能,减少并发症发生率。
Objective:To analyze the effect of enteral nutrition support timing on the recovery of patients after severe craniocerebral trauma.Methods:From January to December 2018,87 cases of patients with severe craniocerebral trauma who underwent operation were enrolled,they were divided into two groups according to the different enteral nutrition time after operation.The observation group was given early enteral nutrition support(24~48 h after operation).The control group was given delayed enteral nutrition support(48 h after operation).The recovery of gastrointestinal function and nutritional status were compared between the two groups.Results:The target feeding time,initial defecation time and length of ICU stays in observation group were shorter than those in control group,the differences were statistically significant(P<0.05).The levels of albumin and hemoglobin in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Early enteral nutrition support can improve gastrointestinal function and reduce the incidence of complications after severe craniocerebral trauma.
作者
蔡艳
Cai Yan(Xiangya Hospital,Central South University,Hunan Changsha 410008)
出处
《中国社区医师》
2021年第4期24-25,共2页
Chinese Community Doctors
关键词
肠内营养时机
重型颅脑外伤
胃肠功能
Enteral nutrition timing
Severe craniocerebral trauma
Gastrointestinal function
