复合碳水化合物高纤维营养配方对脑外伤高血糖的影响  

Effects of Compound Carbohydrate and High Fiber Nutrition Prescription on Hyperglycemia in with Patients with Brain Injury

作　　者：龚茜芬[1] 韦富珍[1] 文亮[1] 刘明华[1] 林江凯[1] 

机构地区：[1]第三军医大学西南医院,重庆400038

出　　处：《华南国防医学杂志》2006年第1期1-2,9,共3页Military Medical Journal of South China

基　　金：重庆市软科学研究项目基金资助(NO:8736)

摘　　要：目的评价不同肠内营养治疗配方在降低重症脑外伤患者高血糖反应的效果。方法脑外伤伴高血糖患者按病人来院治疗时间随机分为2组,一组采用研制的复合碳水化合物高纤维营养配方(P1),另一组采用全面均衡营养配方(P2)。应用此二种肠内营养治疗配方后不同时间检测患者的血糖并进行比较。结果应用P1营养配方的脑外伤患者,在3、7d血糖明显下降(P<0.01),14d恢复到正常水平(P<0.01)。脑外伤患者应用P2肠内营养配方后7、14d,血糖水平明显降低(P<0.01),但血糖未恢复到正常水平。在3、14d,应用P1营养配方的脑外伤患者血糖明显低于P2组(P<0.01)。结论与完全均衡营养配方相比,复合碳水化合物高纤维营养液能明显降低脑外伤患者高血糖,表明该新研制的营养液配方可作为脑外伤患者早期较理想的肠内营养配方。Objective To evaluate the effects of different enteric nutrition prescription on blood glucose in patients with severe brain injury. Methods Fifty -eight patients with severe brain injury were randomly divided into two groups, of which, one was supplied a nutrition prescription with compound carbohydrate and high fiber （ P1 ）, another was supplied entirely balanced nutrition prescription （ P2 ）. Blood glucose was compared between the two groups at different time after the enteric nutrition therapy. Results Blood glucose was significantly decreased on 3,7 days（ P 〈 0.01 ） after using P1 and returned to normal on 14 days after using Pl. Blood glucose was also reduced significantly on 7, 14 days after using P2 （ P 〈 0.01 ） , but the values of blood glucose did not returned to normal . The blood glucose was significantly lower in the patients receiving P1 than that in the patients receiving P2 on 3rd and 14th days after the enteric nuertion （ P 〈 0.01 ）. Conclusion Compared with P2, P1 reduced the hyperglycemia better in the patients with severe brain injury . P1 can be used as early enteric nutrition prescription in the patients with severe brain injury.

关 键 词：脑损伤 肠道营养 血糖 

分 类 号：R591.2[医药卫生—内科学]