肠内营养对烧伤患者创面及营养状况的影响  

Effect of Enteral Nutrition on Wound and Nutritional Status in Burn Patients

作　　者：王芳 张映 WANG Fang;ZHANG Ying(Burn Department,Jingzhou Third People's Hospital,Jingzhou Hubei 434001,China;General Surgery,Jingzhou Third People's Hospital,Jingzhou Hubei 434001,China)

机构地区：[1]荆州市第三人民医院烧伤科,湖北荆州434001 [2]荆州市第三人民医院普外科,湖北荆州434001

出　　处：《中国继续医学教育》2020年第9期100-102,共3页China Continuing Medical Education

摘　　要：目的探讨对严重烧伤患者使用早期肠内营养对其创面恢复及营养状况的影响。方法选取本院2015年12月-2018年12月收治的严重烧伤患者80例,按照随机编号法将其分为观察组与对照组,各40例。对照组采取肠内营养,观察组采用早期肠内营养。统计两组穿面愈合时间和住院时间,并测定伤后第1天和伤后第6天体内血红蛋白(HB)、转铁蛋白(TRF)、血清白蛋白(ALB)水平和身体质量指数(BMI)以评价患者营养状况,统计不良反应发生率。结果观察组创面愈合时间和住院时间均短于对照组(P<0.05);在营养状况方面,两组第1天体内HB、TRF、ALB、BMI无明显差异(P>0.05),第6天观察组各项指标水平高于对照组(P<0.05);观察组不良反应发生率为20.00%,高于对照组的12.50%(P>0.05)。结论对严重烧伤患者使用早期肠内营养有利于促进创面恢复,改善营养状况。Objective To investigate the effect of early enteral nutrition on wound recovery and nutritional status in severe burn patients.Method Eighty patients with severe burns admitted to our hospital from December 2015 to December 2018 were divided into observation group and control group according to random numbering method,40 cases each.The control group was given parenteral nutrition,while the observation group was given early enteral nutrition.The healing time and hospitalization time of the two groups were counted.The levels of hemoglobin(HB),transferrin(TRF),serum albumin(ALB)and body mass index(BMI)were measured on the first day and the sixth day after injury to evaluate the nutritional status of the patients and to count the incidence of adverse reactions.Results The wound healing time and hospitalization time of the observation group were shorter than those of the control group(P<0.05);In terms of nutritional status,there was no significant difference in HB,TRF,ALB and BMI between the two groups on the first day(P>0.05).On the sixth day,the indexes of the observation group were higher than those of the control group(P<0.05);The incidence of adverse reactions in the observation group was 20.00%,which was higher than 12.50%in the control group(P>0.05).Conclusion Early enteral nutrition can promote wound healing and improve nutritional status in severe burn patients.

关 键 词：早期肠内营养 严重烧伤 炎性因子 创面恢复 营养状况 不良反应发生率 

分 类 号：R459[医药卫生—治疗学]