承气汤联合肠内营养对重症颅脑损伤患者肠道复苏的影响  

A Study on Effect of Chengqi Tang Combined with Enteral Nutrition on Enteral Resuscitation in Patients with Severe Traumatic Brain Injury

作　　者：褚晓琼[1] 周益萍[1] 王雅飞 张胜[1] 林荣海[1] CHU Xiaoqiong;ZHOU Yiping;WANG Yafei;ZHANG Sheng;LIN Ronghai

机构地区：[1]浙江省台州医院

出　　处：《新中医》2019年第9期50-52,共3页New Chinese Medicine

基　　金：浙江省中医药科技计划项目（2014ZA123）

摘　　要：目的:观察承气汤联合肠内营养对重症颅脑损伤患者肠道复苏的影响。方法:选取本院重症加强护理病房(ICU)治疗的60例重症颅脑损伤行肠道复苏的患者为研究对象,按随机数字表法分为对照组与研究组,每组30例。对照组给予肠内营养混悬液治疗,研究组给予承气汤联合肠内营养混悬液治疗。比较2组治疗前后肠功能障碍评分、营养指标、肠功能复苏指标。结果:治疗后,2组肠功能障碍评分均较治疗前降低(P<0.05),研究组肠功能障碍评分低于对照组(P<0.05)。研究组肠鸣音恢复时间、肛门排气恢复时间均短于对照组(P<0.01)。治疗后,2组白蛋白、血红蛋白水平均较治疗前提升(P<0.01),研究组上述2项指标水平均高于对照组(P<0.01,P<0.05)。结论:重症颅脑损伤患者肠道复苏前后应用承气汤联合肠内营养可改善患者的肠功能障碍及营养状况。Objective: To observe the effect of Chengqi tang combined with enteral nutrition on enteral resuscitation in patients with severe traumatic brain injury. Methods: A total of 60 cases of patients with severe traumatic brain injury undergoing enteral resuscitation in intensive care unit(ICU) in our hospital were selected as study subjects,and were divided into the control group and the study group according to the random number table method,30 cases in each group. The control group was treated with enteral nutrition suspension,and the study group was additionally treated with Chengqi tang based on the treatment of the control group. The scores of intestinal dysfunction,the nutritional indexes and the indexes of resuscitation of intestinal function before and after treatment in the two groups were compared. Results:After treatment,the scores of intestinal dysfunction in the two groups were decreased when compared with those before treatment(P < 0.05),and the score in the study group was lower than that in the control group(P < 0.05). The recovery time of bowel sounds and anal exhaust in the study group was shorter than that in the control group(P < 0.01). After treatment, the levels of albumin and hemoglobin in the two groups were increased when compared with those before treatment(P < 0.01), and the levels of the above two index in the study group were higher than those in the control group(P < 0.01,P < 0.05). Conclusion:The therapy of Chengqi tang combined with enteral nutrition before and after enteral resuscitation for patients with severe traumatic brain injury can improve the intestinal dysfunction and nutrition.

关 键 词：重症颅脑损伤 肠道复苏 承气汤 肠内营养 

分 类 号：R651.15[医药卫生—外科学]