重型颅脑损伤术后早期肠外肠内联合营养支持的临床研究  

THE CLINICAL STUDY OF EARLY ENTERNAL AND PARENTERAL NUTRITION ON POST-OPERATIVE SEVERE CEREBRAL INJURY

作　　者：石青军[1] 杨正平[1] 

机构地区：[1]青海省人民医院

出　　处：《青海医学院学报》2011年第4期267-270,共4页Journal of Qinghai Medical College

摘　　要：目的观察早期肠外肠内联合营养支持对重型颅脑损伤术后患者的影响。方法将40例重型颅脑损伤术后患者随机分为观察组(肠外肠内联合营养)、对照组(完全肠外营养),每组各20例,治疗后对其相关指标进行检测和评估。结果治疗第14天时观察组前白蛋白较对照组显著改善(P<0.01),转铁蛋白、白蛋白较对照组明显改善(P<0.05),观察组营养指标较治疗前显著改善(P<0.01);治疗第7天时观察组IgG较对照组显著改善(P<0.01),第14天时观察组IgA、IgM、IgG较对照组明显改善(P<0.05);治疗第14天时两组GCS评分组间比较差异有显著性(P<0.05)。结论早期肠外肠内联合营养支持对稳定和改善重型颅脑损伤术后病情有积极作用。Objective To observe the effect of early enternal and parenteral nutrition after the operation of severe cerebral injury. Methods 40 cases of severe cerebral injured patients were randomly divided into observation group （enternal and parenteral nutrition） and control group （parenteral nutrition）. Each group consists of 20 patients. Examined and Evaluated after treatment. Results The Prealbumin contents in observation group was significandy improved after treatment 14th day than that in the control group （P 〈 0. 01 ） ; Transferrin, albumin levels were improved significantly than that of the control group （ P 〈 0.05 ）, the observation group nutritional indices significantly improved compared before treatment （ P 〈 0.01 ） ; treatment after 7 days, IgG level in observation group significantly increased than that in the control group （ P 〈 0.01 ） ; the first 14 days of observation group, IgA, IgM, IgG levels were increased than that in the control group （ P 〈 0.05 ） ; 14th day of treatment, two GCS score was different between the two group （P 〈 0.05 ）. Conclusion Early Enternal and parenteral Nutrition has an active effect on Post- Operative Severe Cerebral Injury.

关 键 词：重型颅脑损伤术后 早期 肠外营养 肠内营养 

分 类 号：R605[医药卫生—外科学]