实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
PRACTICAL JOURNAL OF CARDIAC CEREBRAL PNEUMAL AND VASCULAR DISEASE
2009年
7期
598-599
,共2页
重型颅脑损伤%鼻肠管%肠内营养
重型顱腦損傷%鼻腸管%腸內營養
중형로뇌손상%비장관%장내영양
Severe head injury%Nasal tube%Enteral nutrition
目的 观察鼻肠管早期肠内营养辅以肠外营养对重型颅脑损伤患者的疗效.方法 将84例重型颅脑损伤患者随机分为观察组与对照组各42例,观察组留置鼻肠管,对照组留置鼻胃管,均给予早期肠内营养辅以肠外营养的营养支持方式,观察两组生活指标、胃肠道耐受及并发症情况.结果 营养支持后7d血清总蛋白、清蛋白两组间差异无统计学意义(P＞0.05);两组患者营养支持后7d血糖水平间差异有统计学意义(P＜0.01).1周内并发症发生情况:观察组42例中发生消化道出血5例,反流2例,腹泻4例,腹胀2例.对照组42例中发生消化道出血9例,反流19例,腹泻9例,腹胀17例.结论 重型颅脑损伤病患者鼻肠管早期肠内营养辅以肠外营养支持方式,可以明显改善营养状况,减少并发症的发生.
目的 觀察鼻腸管早期腸內營養輔以腸外營養對重型顱腦損傷患者的療效.方法 將84例重型顱腦損傷患者隨機分為觀察組與對照組各42例,觀察組留置鼻腸管,對照組留置鼻胃管,均給予早期腸內營養輔以腸外營養的營養支持方式,觀察兩組生活指標、胃腸道耐受及併髮癥情況.結果 營養支持後7d血清總蛋白、清蛋白兩組間差異無統計學意義(P＞0.05);兩組患者營養支持後7d血糖水平間差異有統計學意義(P＜0.01).1週內併髮癥髮生情況:觀察組42例中髮生消化道齣血5例,反流2例,腹瀉4例,腹脹2例.對照組42例中髮生消化道齣血9例,反流19例,腹瀉9例,腹脹17例.結論 重型顱腦損傷病患者鼻腸管早期腸內營養輔以腸外營養支持方式,可以明顯改善營養狀況,減少併髮癥的髮生.
목적 관찰비장관조기장내영양보이장외영양대중형로뇌손상환자적료효.방법 장84례중형로뇌손상환자수궤분위관찰조여대조조각42례,관찰조류치비장관,대조조류치비위관,균급여조기장내영양보이장외영양적영양지지방식,관찰량조생활지표、위장도내수급병발증정황.결과 영양지지후7d혈청총단백、청단백량조간차이무통계학의의(P＞0.05);량조환자영양지지후7d혈당수평간차이유통계학의의(P＜0.01).1주내병발증발생정황:관찰조42례중발생소화도출혈5례,반류2례,복사4례,복창2례.대조조42례중발생소화도출혈9례,반류19례,복사9례,복창17례.결론 중형로뇌손상병환자비장관조기장내영양보이장외영양지지방식,가이명현개선영양상황,감소병발증적발생.
Objective To observe the nasal tube of early enteral nutrition supplemented parenteral nutrition on patients with severe brain injury treatment.Methods 84 cases of patients with severe brain injury were randomly divided into experimental group and control group 42 cases,the experimental group indwelling nasal tube,the control group indwelling nasogastric tube,were given early enteral nutrition supplemented with the nutritional support over-the-counter nutritional approach observed two groups of life indicators,gastrointestinal tolerance and complications of the situation.Results The nutritional support 7d serum protein after an upward trend,but no difference in the two groups (P＞ 0.05);two groups of blood glucose than those of nutritional support before the decline in difference between the two groups was significant (P＜0.01);the experimental group concurrent Disease incidence was significantly lower than control (P＜0.05).Conclusion The severe head injury patients with nasal tube of early enteral nutrition supplemented with over-the-counter nutritional support,it can be significantly improved nutritional status,reduce complications.
