颅脑外伤患者的瑞素肠内营养支持  

Enteral Nutrition With Fresubin in Patients of Head Injury

作　　者：叶若兰[1] 朱会耕[1] 祝禾辰[1] 

机构地区：[1]复旦大学附属华山医院重症医学科,上海200040

出　　处：《中国临床医学》2002年第5期514-515,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:评价瑞素肠内营养支持在颅脑损伤患者中的应用价值。方法:90例颅脑损伤患者随机分为瑞素肠内营养(50例)和肠外营养(40例)两组,观察营养支持效果和不良反应、并发症发生率。结果:瑞素组血清前白蛋白、转铁蛋白水平和淋巴细胞计数及累计氮平衡均高于肠外营养组(P<0.05),糖、电解质紊乱和肝功能损害发生率低于肠外营养组(P<0.05)。结论:颅脑损伤患者早期给予瑞素肠内营养支持的效果优于肠外营养支持。Objective: To evaluate the effect of Fresubin for enteral nutrition in patients of head injury. Methods: Ninety patients with head injury were randonmized into two groups. In the study group (50 cases), Fresubin was given via nasogastric feeding tube: in the control group (40 cases) parenteral nutrition was used. The effects, adverse reactions and complications of two modes of nutritional support were observed. Results: The levels of serum prealbumin, transferrin, total lymphocyte count and cumulative nitrogen balance in the study group were higher than those in control group. The incidences of adverse reactions and complications in the study group were significantly lower than those in control group. Conclusion: Early enteral nutrition by using Fresubin in patients of head injury leads to better nutritional status than with parentral nutrition.

关 键 词：颅脑损伤 肠内营养 瑞素 不良反应 并发症 

分 类 号：R651.15[医药卫生—外科学] R459[医药卫生—临床医学]