早期肠内营养在重度烧伤患者中的应用及效果观察  

Study on the application of early enteral nutrition to severe burn patients

作　　者：冉丽[1] 侯岩峰[1] 禚莹莹[1] 李少华[1] 孙焕青[1] 

机构地区：[1]山东大学附属省立医院,山东济南250021

出　　处：《齐鲁护理杂志（中旬刊）》2011年第5期1-3,共3页Journal of Qilu Nursing

基　　金：山东省自然科学基金(Y2006C127)

摘　　要：目的:探讨重度烧伤患者早期肠内营养的应用效果及护理方法。方法:将30例重度烧伤患者随机分为观察组和对照组各15例,观察组给予早期肠内营养,对照组给予肠外营养支持。分别于伤后第3天、第9天观察比较两组血生化指标和免疫功能变化。结果:观察组伤后第9天前白蛋白、转铁蛋白高于对照组(P<0.05),TNF-α低于对照组(P<0.05);IgG、lgA、CD4+细胞及NK细胞高于对照组(P<0.05)。结论:早期肠内营养支持可明显改善重度烧伤患者生化指标和免疫状态,值得临床推广应用。Objective：To investigate the application effect of early enteral nutrition to severe burn patients and nursing methods.Methods：30 severe burn patients were randomly divided into observation group and control group（15 cases for each group）.The early enteral nutrition was given to the patients in the observation group and parenteral nutrition support was given to the patients in the control group.The blood biochemical indices and the change of immune function were observed and compared on the 3nd and 9th day after injury between the two groups.Results：The level of pre-albumin and transferrin on the 9th day after injury was higher in the observation group than the control group（P0.05）;TNF-α was lower in the observation group than the control group（P0.05）;IgG,lgA,CD4＋ cells and NK cells were higher in the observation group than the control group（P0.05）.Conclusion：The early enteral nutrition support can improve biochemical indices and immune status of severe burn patients and it is worthy of being applied clinically.

关 键 词：重度烧伤 肠内营养 免疫 护理 

分 类 号：R473.6[医药卫生—护理学]