早期肠内营养在以严重腹部外伤为主的多发伤患者术后的应用  

The early use of enteral nutrition in patients with multiple injury adominated by abdominal trauma

作　　者：王毅鑫[1] 苏文利[1] 朱文献[1] 陈奋[1] 孟智渊[1] 陆景伟[1] 厉振凯[1] 吴坚[1] 景炳文[1] 

机构地区：[1]上海中医药大学普陀临床医学院创伤急救中心,200062

出　　处：《中华急诊医学杂志》2004年第7期462-464,共3页Chinese Journal of Emergency Medicine

摘　　要：目的　探讨早期肠内营养在多发伤患者中的应用价值。方法　对本院收治的 2 1例以严重腹部外伤为主的多发伤患者术后实施早期肠内营养。术后第 1天和第 14天分别测定血清白蛋白、前白蛋白、转铁蛋白 ,T淋巴细胞表面抗原和CRP ,并进行比较。结果　所有患者术后 2周的血清白蛋白、前白蛋白、转铁蛋白、CD3+ 、CD4+ 和CD4+ CD8+ 等比术后第 1日明显增加 (P <0 0 5 ) ,CRP和CD8+ 明显下降 (P <0 0 5 ) ,而且无严重感染发生。Objective To explore the value of early enteral nutrition(EN) in patients with multiple trauma.Methods The early EN was used in patients with multiple trauma after operation. The concentrations of serum albumin, pre-albumin, trans-ferrin,CRP and surface antigens of lymphocyte T were measured in all patients on the first day, and the fourteenth day after operation.Results In all patients, the levels of the serum albumin, pre-albumin, transferrin.CD 3 +, CD 4 + and CD 4 +/CD 8 + on the fourteenth day after operation were obviously higher than those at the first day after operation(P<0.05), and the levels of CRP and CD 8 + on the fourteenth day after operation are lower than those on the first day after operation(P<0.05). There is no occurrence of severe infection. Conclusion Early EN is practical and valuable in patients with multiple trauma.

关 键 词：早期肠内营养 严重腹部外伤 多发伤 测定 营养支持 

分 类 号：R656.1[医药卫生—急诊医学]