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早期不同营养方式对重型颅脑损伤胃肠功能及预后的影响
引用本文:张宜波,李卫,王东起,吴丛山,时步卿,顾向远,王永文,徐秀芹.早期不同营养方式对重型颅脑损伤胃肠功能及预后的影响[J].淮海医药,2005,23(3):180-182.
作者姓名:张宜波  李卫  王东起  吴丛山  时步卿  顾向远  王永文  徐秀芹
作者单位:江苏省赣榆县人民医院,神经外科,222100;江苏省赣榆县人民医院,神经外科,222100;江苏省赣榆县人民医院,神经外科,222100;江苏省赣榆县人民医院,神经外科,222100;江苏省赣榆县人民医院,神经外科,222100;江苏省赣榆县人民医院,神经外科,222100;江苏省赣榆县人民医院,神经外科,222100;江苏省赣榆县人民医院,神经外科,222100
摘    要:目的 探讨不同营养方式对重型颅脑损伤(GCS4~8分)的能量、蛋白质代谢、血电解质、胃肠功能及预后的影响和效果。方法 36例病人随机平均分两组:早期肠内营养(EN)组和早期肠外营养(PN)组,伤后4 8h行营养治疗并回访3个月,进行比较研究。结果 EN组在改善胃肠功能及预后优于PN组,且能较好维持电解质平衡,促进氮平衡。结论 EN是重型颅脑损伤较好营养方法。

关 键 词:重型颅脑损伤  早期  营养方式  胃肠功能  预后
文章编号:1008-7044(2005)03-0180-03
修稿时间:2004年12月1日

The stomach and intestine's function and prognosis of serious craniocerebral injury affected by the early different nourishment methods
ZHANG Yi-bo,L I Wei,WANG Dong-qi,et al..The stomach and intestine's function and prognosis of serious craniocerebral injury affected by the early different nourishment methods[J].Journal of Huaihai Medicine,2005,23(3):180-182.
Authors:ZHANG Yi-bo  L I Wei  WANG Dong-qi  
Abstract:Objective To investiga te effects of the early different nouris hment method on a craniocerebral injury in terms of energy,protein metabolism,st omach and intestine's function.Method s 36 patients were divided randomly in to two groups:the early intra-intestinal nourishment group and the early parente ral nutrition group.They accepted the no urishment treatment 48 hours after getti ng hurt and was visited for 3 months aft erwards.Results EN group is bette r than PN group in maintaining the elect rolyte enzyme equilibrium,improving nitr ogen balance,and stomach and intestine's function and prognosis.Conclusion The EN is a better method for the serio us craniocerebral injury.
Keywords:Craniocerebral injury  Early  Nourishment method  The stomach  and intestines' function  Prognosis
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