自制开胃汤对重型颅脑损伤患者肠内营养支持的影响及护理干预  

Effect of self-made digestive decoction of Chinese medicine activating patients＇ stomarch on enteral nutrition support and related complications, and corresponding nursing for severe head injured patients

作　　者：肖桂珍[1] 邱小文[1] 谭泽威[1] 王钦先[1] 黄英[1] 

机构地区：[1]广州军区广州总医院营养科,510010

出　　处：《中华现代护理杂志》2009年第18期1733-1735,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨自制开胃汤配合重型颅脑损伤患者早期肠内营养支持对营养供给和并发症的作用。方法将46例重型颅脑损伤患者分为研究组和对照组各23例，两组均给予肠内营养支持，研究组在此基础上加用自制开胃汤。比较伤后7d肠内营养的热量，前白蛋白、转铁蛋白、血糖和电解质水平，记录并发症的发生率。结果研究组摄入的热量明显高于对照组；与对照组比较，研究组无便秘发生，腹泻和腹胀减少；前白蛋白和转铁蛋白明显升高，差异有统计学意义。结论自制开胃汤可以促进患者营养状况的恢复，减少相关并发症。Objective To observe the effect of seff-made digestive decoction of Traditional Chinese Medicine （TCM） in supplying nutrition and preventing complications for severe head injured patients who accept early enteral nutrition support. Methods 46 patients with head severe injury were divided into two groups： study group and control group, with each group having 23 patients. The patients in both groups were given by enteral nutrition support. The patients in study group were fed with self-made digestive decoction of Chinese medicine accompanied with the early enteral nutrition. The calorie of the enteral nutrition after having been injuried for 7 days, as well as pre-albumin, transferrin, blood sugar, and electrolyte level, was compared. In addition, the occurrence rate of complications was recorded. Results Compared to the control group, on 7th day, patients in the study group had higher calories through absorption. And also compared to the control group, patients in the study group did not complained for the occurrence of constipation, and had lower incidences of diarrhea and abdominal distension. In the study group, pre-albumin and transferrin increased significantly, exhibiting a statistical difference. Conclusions Digestive decoction of Chinese medicine acting on stomareh can help to improve the recovery of nutritional status of patients and reduce the related complications among patients.

关 键 词：中药疗法 颅脑损伤 肠道营养 护理 

分 类 号：R473.6[医药卫生—护理学]