肠内营养治疗对危重病人脏器功能的影响

目的探讨肠内营养治疗对危重病人内脏功能的影响。方法将35例因脑血管病昏迷的病人随机分为对照组17例（纯静脉药物治疗）和研究组18例（静脉药物治疗+经胃管行肠内营养），一周后观察患者SGPT、PaO

Effect of enteralnutrition on organ function in critically ill patients

Objective　To investigate the effect of enteral nutrition on organ function in critically ill patients.　Methods　35 cases cerebral ill patients were randomly divided into control group(intravenous infusion, n=17) and study group(intravenous infusion+enteral nutrition, n=18). The PaO2、 PaCO2、 white blood cell and the plasma contents of SGPT、 BUN and the percentage of gastrointestinal haemorrhage should be assayed one week after treatment were given.　Results　The white blood cell and the plasma contents of SGPT and the percentage of gastrointestinal haemorrhage was significantly higher in control group patients［(11.69±2.87), (59.87+21.39),(65%)］ than that in study group patients［(9.85±3.48),(41.08±22.31),(22%),P<0.05］. Hower, PaO2 in control group patients(8.37±0.66) were markedly lower compared with study group patients［(10.83±1.93), P<0.05］. There was no significant difference in PaCO2 and the plasma contents of BUN between the two groups one week after treatment were given(P>0.05). 　Conclusions　Early stage enteral nutrition is conducive to protecting gastrointestinal function, preventing bacterial translocation, alleviating systemic inflammatory response and subsequent multiple organ failure among critically ill patients.