重型颅脑损伤患者营养支持的临床研究  

A clinical study of nutritional support in patients with severe head injury

作　　者：金丹[1] 张光辉[1] 吴欣洪[1] 刘平[1] 刘锦平[1] 王运涛[1] 

机构地区：[1]中国葛洲坝集团中心医院神经外科,宜昌443002

出　　处：《中国临床营养杂志》2001年第3期155-157,共3页Chinese Journal of Clinical Nutrition

摘　　要：目的　探讨重型颅脑损伤营养支持的临床疗效及最佳途径。　方法　 6 4例重型颅脑损伤患者随机分为肠内营养组 (EN组 )和肠外营养组 (PN组 ) ,每组 32例。急诊手术后 36～ 48h开始经不同途径进行额定热卡和氮量的营养支持 ,监测各项营养指标、代谢指标及营养支持并发症 ,计算营养费用。　结果　EN与PN均有效地维持了各项营养指标 ,但PN组代谢指标、营养支持并发症及营养费用均显著高于EN组。　结论　早期EN与PN均能改善机体的营养状况。EN更具有营养全面、简易安全、方便价廉等优点 ,应作为营养支持的首选途径。Objective To explore the clinical therapeutic efficacy and the best way of nutritional support in patients with severe head injury. Methods 64 patients with severe head injury were divided into enteral nutrition group (ENG) and parenteral nutrition group (PNG) at random. Treated by emergent operations and 36～48 hours later,all the patients received the rationed nitrogen and calorie containing nutritional support via different pathway. At the same time,we had been monitoring the nutritional indexes,the metabolic indexes,the complications of nutritional support and calculating the nutritional costs during the whole treatment. Results The nutritional indexes were effectively maintained in both ENG and PNG,but the metabolic indexes,the complications of nutritional support and the nutritional costs of the PNG rose more obviously than those of the ENG. Conclusions Early postoperative EN and PN nutritional support could improve the nutritional status of the body. EN had much benefit,including comprehensive nutrition,safety,convenience and low cost. It should be the first pathway for nutritional support.

关 键 词：重型颅脑损伤 营养支持 肠内营养 EN 临床疗效 

分 类 号：R651.15[医药卫生—外科学]