肠外肠内联合营养对老年重型颅脑外伤病人预后的影响

目的:探讨联合应用肠外、肠内营养对老年重型颅脑外伤病人预后的影响.方法:采用前瞻性对照的方法,对84例老年重型颅脑外伤病人早期营养支持的方法与作用进行研究.试验组早期开始给予肠外和肠内序贯营养;对照组按传统方法伤后6～7 d给予鼻饲流质.结果:试验组的氮平衡等营养指标均明显优于对照组(P＜0.05,P＜0.01);第14和第28天的GCS计分高于对照组(P＜0.05);病死率、肺部感染率显著低于对照组(P＜0.05).结论:肠外与肠内联合营养支持治疗,有利于改善老年重型颅脑外伤病人的预后.

The effects of combination of parenteral and enteral nutrition on prognosis of severe craniocerebral injury of geriatric patient

Objective:To study the effects of combination of parenteral and enteral nutrition in sequence on prognosis of severe craniocerebral injury of geriatric patient.Methods:The method and effects of nutrition support have been studied in 84 cases of severe craniocerebral injury of geriatric patient.The patients of study group were fed by parenteral and enteral nutrition in sequence in early period,and the patients of the control group were nutritionally supported with common method for 6-7 days.Results:Nitrogen cumultive balances,nutitional index of the study group were signficantly better than that of the control group(P<0.05-P<0.01),GCS scores of the study group were signficantly better than that of the control group(P<0.05),and mortality and lung infection occurrence of study group were much fewer than those of the control group(P<0.05).Conclusions:The combination of parenteral and enteral nutrition can improve prognosis of severe craniocerebral injury of geriatric patient.