重型颅脑损伤昏迷患者的肠内营养支持治疗  

Application of nutrition support in patients with severe craniocerebral injury

作　　者：肖其华[1] 黄思庆 钱苏荣[1] 吴建东[1] 傅西安[1] 游潮[2] 毛伯镛[2] 

机构地区：[1]南京医科大学附属苏州医院神经外科,苏州215008 [2]四川大学华西医院神经外科

出　　处：《中华神经外科杂志》2012年第11期1087-1089,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨重型颅脑损伤昏迷患者肠内营养支持治疗的方法和效果。方法将402例患者分为实验组（能全力组，208例）和对照组（普通全营养匀浆制品组，194例），入院6—48h内给予肠内营养支持，每天1000ml（1000kcal），辅以流质食物加餐。比较两组血清白蛋白、TSF、AMC、体质量等营养指标并比较意识恢复程度及并发症的发生率。结果实验组各项营养指标均高于对照组，差异有统计学意义（P〈0.05）而意识恢复程度（通过GCS评分）优于对照组，并发症出现率低于对照组。结论重型颅脑损伤患者给予能全力肠内营养支持可有效地改善患者的营养状况，有利于患者的康复。Objective To discuss the rational application and clinical significance of nutrition support in patients with severe craniocerebral injury. Methods 402 cases of severe cranioeerebral trauma were randomly divided into control group and experimental group. The experimental group was supported with nutrison fibre（208 cases）and the control group with ordinary nutrients homogenate products （194 cases）. The seralbumin, TSF, AMC and body weight were detected. The degree of consciousness recovery was investigated. The incidence rate of complication was observed. Results The nutritional indications （e. g. seralbumin, TSF, AMC and body weight, ere） of the experimental group were better than those of the control group and the GCS score was significantly improved in the experimental group, while the incidence rate of complication was markedly decreased in the experimental group （ P 〈 0.05）. Conclusions Early enteral nutrition support could improve metabolic status, reduce the incidence rate of complication and improve the GCS score as a whole for severe craniocerebral injury patient.

关 键 词：颅脑损伤 肠内营养 早期 

分 类 号：R651.1[医药卫生—外科学]