120例重型颅脑损伤患者的早期营养支持治疗

目的：探讨早期营养支持治疗在重型颅脑损伤患者中的合理应用。方法：120例重型颅脑损伤患者随机分成2组．每组60例，A组早期同时给予肠内营养（EN）和肠外营养（PN）；B组早期给予PN，1周后逐渐过渡到EN。进行有关临床观察及统计学分析。结果：重型颅脑损伤患者伤后早期能从不同营养途经获得营养成分，A组2周时各项营养指标均优于B组（P〈0．05），且A组2周后并发症发生率均低于B组，预后亦优于B组，A、B两组间比较，A组消化道出血发生率低于B组，费用更节省。结论：重型颅脑损伤患者早期联合进行EN、PN是临床较合理的营养支持方法．对减少并发症和改善预后有重要的价值。

Early nutrition support in 120 patients with severe craniocerebral injury

Objective：To study the proper early application of combination of parenteral and enteral nutrition to severe craniocerebral injury. Methods： The method and effects of nutrition support had been studied in 120 cases of severe craniocerebral injury.The patients of study group were derided into two groups： group A and group B. Group A was provided by parenteral and enteral nutrition in early period, and group B was given by parenteral nutrition early, by enteral nutrition after a week. The nutritional index such as HGB,TF,TP,ALB and the complications were compared after 2 weeks. Results： The nutritional index of group A were signficantly better than that of group B （P〈0.05）, the complications of group A were much fewer than group B （P〈0.05）. Conclusion： The combination of parenteral and enteral nutrition can improve prognosis of severe craniocerebral injury.