重型颅脑损伤后早期肠道内营养在降低应激性溃疡发病率中的作用

目的 研究重型颅脑损伤后早期肠道内营养（EN）在降低应激性溃疡发病率中的作用。方法 对96例重型颅脑外伤患者行早期EN，取同期96例重型颅脑外伤患者行早期肠道外营养（PN），动态观察其体重、白蛋白变化和应激性溃疡发病率。结果 伤后10dEN组与PN组体重、白蛋白无显著差异，EN组应激性溃疡发病率低于PN组，分别为12．5％和26．04％（P〈0．05）。结论 早期EN与PN具有同样的营养价值，但在降低应激性溃疡发病率方面明显优于PN。

Value of early enteral nutrition in reducing incidence rate of stress ulceration after severe craniocerebral trauma

Objective To investigate the value of early enteral nutrition (EN) in reducing the incidence rate of stress ulceration after severe craniocerebral trauma. Methods A group of 96 cases of severe craniocerebral trauma were treated with early EN, while another group of 96 cases of severe craniocerebral trauma were managed with early parenteral nutrition (PN). The body mass, albumin and stress ulceration were dynamically observed and compared between the 2 groups. Results Ten days after injury, there were no significant difference in body mass, albumin between the 2 groups, but the incidence rate of stress ulceration in EN group (12.5%) was lower than that in PN group (26.04%, P< 0.05). Conclusion There is equal nutritional value between early EN and PN, but EN is superior to PN in reducing the incidence rate of stress ulceration.