重型颅脑损伤患者术后肠内外营养支持疗效比较  

作　　者：唐伟红[1] 潘美珍[1] 陈聿华[1] 韩东华[1] 

机构地区：[1]复旦大学附属浦东医院,201399

出　　处：《浙江临床医学》2016年第11期2064-2065,共2页Zhejiang Clinical Medical Journal

摘　　要：目的：观察早期肠内外联合营养支持对重型颅脑损伤术后患者的影响。方法重型颅脑损伤术后患者89例随机分为2组，观察组45例，行肠内外（EN＋PN）联合营养支持；对照组44例，行全肠外（TPN）营养支持。治疗14d后比较两组血红蛋白、血清总蛋白、白蛋白、血糖及并发症的发生率。结果治疗14d后观察组各项指标均明显优于对照组，差异有统计学意义（P〈0.05）。结论重型颅脑损伤患者术后肠内外联合营养支持，可以明显改善患者的营养状况，减少并发症，提高生存率。Objective To observe the effects of Parenteral Nutrition （PN） combined with Enteral nutrition （EN） and Total Parenteral Nutrition（TPN） in patients with severe craniocerebral trauma. Methods Eighty-nine patients were divided into two groups in random：study group （EN＋PN 45cares） and control group （TPN 44 cases）. The levels of total Serum Protein,Albumin,Hemoglobin,GLU were detected and the complication incidence was recorded after 14 days of treatment. Results The nutritional status of patients in the study group were significantly better than the ones in the control group and cases with complication recorded in the study group were significantly less than the ones in the control group after 14 days of treatment. Conclusion For patients with Severe Craniocerebral Trauma,combined enteral and parentral nutrition may obviously improve their nutritional status,reduce the occurrence of complications and improve the survival rate.

关 键 词：重型颅脑损伤 肠内营养 肠外营养 

分 类 号：R651.15[医药卫生—外科学]