63例重型颅脑创伤病人早期营养调查  

Analysis of early nutritional status of 63 cases following severe head injury

作　　者：黄承瑶[1] 董萍[1] 陆政英 文淑华 

机构地区：[1]第二军医大学附属第二医院脑外科

出　　处：《中华护理杂志》1996年第4期187-189,共3页Chinese Journal of Nursing

基　　金：中国人民解放军八.五攻关基金

摘　　要：对１９９０年１月至１９９３年１２月收治的６３例重型颅脑创伤病人（ＧＣＳ≤７分）伤后２周内的营养支持状况作回顾性调查。６３例重型颅脑创伤病人中，治愈３９例（６１．９％）、重残１３例（２０．６％）、死亡１１例（１７．５％）。结果显示：本组病人伤后２周内每日平均热能、蛋白质的供给量显著低于人体正常需要量。低白蛋白血症发生率从伤后第１周的７．９％上升至伤后第２周的４７．６％。发生低白蛋白血症的病人死亡率（３０．０％）显著高于白蛋白正常组（６．０６％），Ｐ＜０．０５。故认为目前常规的营养支持方式不能满足机体的需要，影响了疾病的恢复。Sixty-three severe head injured patients(GCS≤7) from January,1990 to December,1993 were analyzed about nutrient status during two weeks after trauma. Of the 63 patients ,39 patients (61. 9%)had a good recovery,13(20. 6%) were severely disabled and 11 (17. 5%) died. The data showed that the average daily supply of caloric and protein did not meet the normal needs of patient during the first twoweek after trauma,7.9% of these patients were hypoproteinosis at one week,47.6% at the second week after trauma respectively. The mortality of the patients with hypoproteinosis (30.0%) was significantly highier than patients with the normoproteinsis (6.06%,P<0.05).The results showed that the conventional nutritional support couldn't meet the normal needs and thus delayed the recovery of the patients.We considered that it was necessary to pay more attention to systemly study of nutritional support and improvement of the nutritional ingridient.

关 键 词：重型颅脑创伤 营养 康复 

分 类 号：R651.15[医药卫生—外科学]