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作 者:刘西韶[1] 谢永银[1] 王佩琼[1] 李迎芳[1] 魏晓芳[1]
机构地区:[1]深圳市宝安区人民医院门诊,广东深圳518101
出 处:《临床肺科杂志》2010年第7期933-934,共2页Journal of Clinical Pulmonary Medicine
摘 要:目的评价对乳酸菌合生元肠内营养在重型颅脑损伤中枢性呼吸衰竭患者的应用。方法将60例重型颅脑损伤中枢性呼吸衰竭患者随机分为PN组、LEN组及FEN组。对比观察营养支持后3组患者白蛋白、前白蛋白、淋巴细胞、血糖等营养指标以及腹泻、腹胀、胃肠道出血等并发症发生率。结果 FEN组和PN组治疗后总淋巴细胞计数显著下降(P<0.05)。PN组的死亡率、二重感染、应激性溃疡发生率高于LEN和FEN组。结论重型颅脑损伤中枢性呼吸衰竭患者应用乳酸菌合生元肠内营养有利于胃肠功能的恢复。Objective To evaluate the application of lacotobacillus synbiotics on enteral nutrition in severe traumatic brain injury patients with central respiratory failure.Methods 60 cases with severe traumatic brain injury combined central respiratory failure were randomly divided into PN group,LEN group and FEN group.Albumin,prealbumin,lymphocytes,blood glucose and other nutritional indicators,as well as diarrhea,abdominal distension,gastrointestinal bleeding and other complications of the three groups were comparative observed after support.Results Total lymphocyte count in the FEN group and PN group decreased significantly after the treatment(P〈0.05).The mortality rate of double infection,stress ulcer of the PN group was higher than that of the LEN and FEN groups.Conclusion Severe traumatic brain injury patients with central respiratory failure,lactic acid bacteria synbiotics enteral nutrition is conducive to the recovery of gastrointestinal function,and it can reduce the systemic inflammatory response.
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