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[目的]观察早期肠内营养对重症颅脑损伤术后患者的临床意义。[方法]将50例患者随机分为2组,治疗组在24～48h以瑞素行肠内营养,对照组按传统方法鼻饲流质,其余治疗2组相同。观察2组患者的营养指标、并发症情况。[结果]治疗组血清总蛋白、血红蛋白(Hb)在术后第7、14天高于对照组(P<0.05),Hb术后第28天高于对照组(P<0.05),且治疗组消化道出血和便秘较对照组明显减少(P<0.05)。[结论]早期应用肠内营养可促进患者胃肠功能恢复,改善机体营养状况,增强免疫,减少感染,降低并发症,是重症颅脑损伤术后患者较好的营养方法。
[Objective] To observe the clinical significance of early enteral nutrition in patients with severe craniocerebral injury. [Method] Fifty patients were randomly divided into two groups. Enteral nutrition was given to the patients in the treatment group within 24-48 hours. The control group was fed with the fluid by the traditional method. The rest two groups were the same. Two groups of patients were observed nutritional indicators, complications. [Results] The serum total protein and hemoglobin (Hb) in the treatment group were higher than those in the control group on the 7th and 14th days after operation (P <0.05), and on the 28th day after the Hb operation, the levels of Hb were higher than those in the control group (P <0.05) Gastrointestinal bleeding and constipation were significantly reduced compared with the control group (P <0.05). [Conclusion] The early application of enteral nutrition can promote gastrointestinal function recovery, improve the nutritional status of the body, enhance immunity, reduce infection and reduce complications. It is a good nutritional method for patients with severe craniocerebral injury.