早期肠内营养在以严重腹部外伤为主的多发伤患者术后的应用

目的　探讨早期肠内营养在多发伤患者中的应用价值。方法　对本院收治的 2 1例以严重腹部外伤为主的多发伤患者术后实施早期肠内营养。术后第 1天和第 14天分别测定血清白蛋白、前白蛋白、转铁蛋白 ,T淋巴细胞表面抗原和CRP ,并进行比较。结果　所有患者术后 2周的血清白蛋白、前白蛋白、转铁蛋白、CD3+ 、CD4+ 和CD4+ CD8+ 等比术后第 1日明显增加 (P <0 0 5 ) ,CRP和CD8+ 明显下降 (P <0 0 5 ) ,而且无严重感染发生。结论　术后早期肠内营养在以严重腹部外伤为主的多发伤患者中运用是安全可行并有价值的

The early use of enteral nutrition in patients with multiple injury adom inated by abdominal trauma

Objective To explore the value of early enteral nutrition(EN) in patients with multiple trauma.Methods The early EN was used in patients with multiple trauma after operation. The concentrations of serum albumin, pre-albumin, trans-ferrin,CRP and surface antigens of lymphocyte T were measured in all patients on the first day, and the fourteenth day after operation.Results In all patients, the levels of the serum albumin, pre-albumin, transferrin.CD 3 +, CD 4 + and CD 4 +/CD 8 + on the fourteenth day after operation were obviously higher than those at the first day after operation(P<0.05), and the levels of CRP and CD 8 + on the fourteenth day after operation are lower than those on the first day after operation(P<0.05). There is no occurrence of severe infection. Conclusion Early EN is practical and valuable in patients with multiple trauma.