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目的探讨早期肠内营养支持在重型颅脑损伤疾病中的临床疗效。方法选取清丰县人民医院脑外科2009年1月至2012年1月间收治的120例重型颅脑损伤患者,并将患者分为实验组和对照组,每组60例,两组患者均进行常规基础护理。对照组患者在基础护理基础上加施肠外营养支持,而实验组患者在基础护理前提下在早期进行肠内营养支持,并对比两组患者的免疫状况和营养状态。结果实验组第7天时营养状况的各项指标均优于对照组,组间比较差异有统计学意义(P<0.05);实验组患者的营养支持在第7天时的免疫学各项指标均优于对照组,两组比较差异有统计学意义(P<0.05);实验组的并发症病例少于对照组(P<0.05)。结论早期肠内营养支持在重型颅脑损伤患者中有显著的营养维持效果,并能提高患者的免疫力以及增加抵抗力,降低患者并发症的发生率,促进患者尽快康复。
Objective To investigate the clinical efficacy of early enteral nutrition support in severe traumatic brain injury. Methods A total of 120 patients with severe traumatic brain injury admitted from January 2009 to January 2012 in the Department of Brain Surgery, People’s Hospital of Qingfeng County were enrolled and divided into experimental group and control group, 60 cases in each group. All patients underwent routine Basic nursing. Patients in the control group were given parenteral nutrition support on the basis of basic nursing while patients in the experimental group were given enteral nutrition support in the early stage on the premise of basic nursing. The immune status and nutritional status of the two groups were compared. Results On the 7th day, the experimental group had better nutritional status than the control group, with significant difference between the two groups (P <0.05). The immunological indexes of the experimental group were all good on the 7th day In the control group, the difference between the two groups was statistically significant (P <0.05); the complications of the experimental group were less than those of the control group (P <0.05). Conclusion Early enteral nutrition support in patients with severe craniocerebral injury have significant nutritional support, and can improve patient immunity and increase resistance, reduce the incidence of complications and promote recovery of patients as soon as possible.