重度颅脑损伤后早期肠内匀浆膳营养支持的临床观察与护理  

Clinical Observation and Nursing of the Enteral Nutrition Support with Homogenate Meals at the Early Stage in Patients with the Seriously Traumatic Brain Injury

作　　者：李彩珠[1] 张秀琳[1] 黄涛[1] 

机构地区：[1]广东省惠州市第三人民医院外四科,广东惠州516001

出　　处：《航空航天医学杂志》2012年第10期1190-1192,共3页Journal of Aerospace medicine

摘　　要：目的:探讨重度颅脑损伤后早期给予肠内匀浆膳营养支持的作用及护理。方法:本研究回顾性分析78例重型颅脑损伤临床资料,其中42例在伤后早期(<72 h)给予肠内匀浆膳营养支持,36例采用肠外营养。比较两组在营养状态、血清蛋白水平、相关并发症及临床预后的差异。结果:结果显示早期肠内匀浆膳营养组,在改善患者营养状态、血清生化指标及临床预后方面优于肠外营养组(P<0.05),两组在相关并发症方面无显著差异(P>0.05)。结论:重型颅脑损伤后早期采用匀浆膳肠内营养支持是一种既经济又有效的治疗措施,通过加强消化道护理有助于降低并发症、提高患者抗病能力并改善临床预后。Objective：To investigate the therapeutic effect and clinical nursing of the enteral nutrition（EN） with homogenate meals after seriously traumatic brain injury.Methods：78 patients with seriously traumatic brain injury had been retrospectively analysed,which 42 patients had been given enteral nutrition with homogenate meals less than 72 h after trauma,and 36 patients were provided with parenteral nutrition（PN）.The nutrition conditions,serum albumin level,relative complications and prognosis of the patients between the two groups had been compared.Results：EN group had better results in improving the nutrition condition,serum albumin level and prognosis than the PN group（P0.05）.However,there was no obvious difference in relative complications between the two groups（P0.05）.Conclusions：Using homogenate meals as EN support is a simple,safe,economic,and effective means for the patients with seriously cerebral injury.Intensive digestive system nursing would help to lower the clinical complications and improve the disease resistane and clinical prognosis.

关 键 词：重型颅脑损伤 肠内营养 护理 临床预后 

分 类 号：R473.6[医药卫生—护理学]