急性重型颅脑损伤患者营养支持的临床研究

目的探讨重型颅脑损伤患者急性治疗期的营养支持方法。方法选择成年人急性重型脑损伤86例，分成实验组与对照组；实验组给予早期的静脉营养支持，结合积极的肠内营养支持，对照组采用传统的营养方法；治疗10-14d后，观察皮肤和肌肉的营养状况，测定血浆蛋白含量；治疗期间观察分析全身情况与并发症发生情况。结果实验组患者皮肤和肌肉的营养状况优于与对照组，血浆白蛋白含量高于对照组；并发症发生情况。实验组较对照组也明显减少。结论强化早期静脉营养支持，并结合积极的肠内营养支持方法，在急性重型颅脑损伤治中具有重要作用。

A Clinical Study on Nutritional Support in Patients with Acute Severe Head Injury

Objective To investigate the methods of nutritional support in patients with acute severe head injury. Methods 86 adult patients were classified into experimental group and control group. The experimental group was intravenously given nutrition in an earlier period, combined with aggressive enteral nutritional support. In control group, nutritional support was supplied according to the traditional method. 10 to 14 days later, their skin and muscles were observed, and plasma proteins were analyzed. During this period, general status and complications were monitored. Results Compared with the control sroup, experiment group had a better condition of skin and muscles and a higher plasma albumin level, whose complications took place in a lower incidence. Conclusion In treating acute severe head injury, it is crucial to early supply intravenous nutrition and to combine it with aggressive enteral nutrition.