CAJ | 학술논문

目的：探讨重症颅脑损伤患者早期应用鼻肠管管饲个性化管饲液的临床价值。方法将2011年1月～2013年12月临沂市第二人民医院收治的48例重型颅脑损伤患者（GCS评分3～8分）随机分为对照组和实验组各24例，分别给予实验组早期鼻肠管个性化管饲液和对照组常规营养支持治疗，观察分析两组的营养指标、并发症发生率、平均住院天数、住院费用及预后。结果实验组营养指标、并发症发生率、平均住院天数、住院费及预后均优于对照组（ P ＜0．05）。结论重症颅脑患者早期应用鼻肠管管饲个性化管饲液进行肠内营养支持治疗能够改善营养状态，减少并发症，缩短住院时间，降低住院费用，明显改善患者预后。
목적：탐토중증로뇌손상환자조기응용비장관관사개성화관사액적림상개치。방법장2011년1월～2013년12월림기시제이인민의원수치적48례중형로뇌손상환자（GCS평분3～8분）수궤분위대조조화실험조각24례，분별급여실험조조기비장관개성화관사액화대조조상규영양지지치료，관찰분석량조적영양지표、병발증발생솔、평균주원천수、주원비용급예후。결과실험조영양지표、병발증발생솔、평균주원천수、주원비급예후균우우대조조（ P ＜0．05）。결론중증로뇌환자조기응용비장관관사개성화관사액진행장내영양지지치료능구개선영양상태，감소병발증，축단주원시간，강저주원비용，명현개선환자예후。
Objective To explore the clinical effect of early application of individualized intubation liquid in nasointestinal tube on severe craniocerebral injury .Methods 48 patients with severe craniocerebral injury (GCS score being from 3 to 8) were randomly divided into the experimental group (n=24) and the con-trast group (n=24) treated from January ,2011 to December ,2013 .The experimental group received ear-ly individualized intubation liquid support in nasointestinal tube ,while the contrast group was given rou-tine nutritional supported .The nutrition index ,incidence of complications ,average days of hospitaliza-tion ,hospitalization expenses and prognosis of the two groups were observed and analyzed .Results The ex-perimental group got better results than the control group in nutrition index ,incidence of complications , average days of hospitalization ,hospitalization expenses and prognosis ( P <0 .05) .Conclusion Early ap-plication of individualized intubation liquid in nasointestinal tube can produce good curative effect on severe craniocerebral injury .