肠内肠外营养在重度颅脑损伤病人中的应用

目的 探讨重度颅脑损伤后早期不同营养途径的合理性及临床意义.方法 将GCS≤8分的重度颅脑损伤患者随机分为试验组(肠内、肠外序贯营养支持组)、对照组(单纯肠内营养组,EN),每组各24例.结果 两组病人营养治疗后血清白蛋白(ALB)、血红蛋白(HB)、总淋巴细胞计数(TLC)均明显升高,体重略下降.两组病人伤后21天时各项营养指标无明显差异(P＞0.05).结论 重度颅脑损伤后早期肠外、肠内序贯营养支持等同于传统匀浆膳加用乳清蛋白.

Advances of Researches on Genistein

Objective To in vestigate the rationality and clinical value of various approaches of nutrition support at the early stage for severe cranial trauma. Methods Severe trauma patients were randomized into two groups,namely the experimental group(intestinal and extra-intestinal continuous nutrition support) and control group (intestinal nutrition support only).Each group composed of 24 patients. Results The albumin(ALB),hemoglobin(HB) and total lymphocyte count(TLC) increased in both groups,while the body weight decreased slightly,after nutrition support. At 21d after trauma,there was no significant difference between the nutrition index of both groups(P>0.05). Conclusions After severe cranial trauma,the intestinal and extra-intestinal continuous nutrition support is the same as traditional homogenate food plus lacto-globulin.