联合肠外肠内营养在重型颅脑损伤患者中的应用

目的回顾性分析重型颅脑损伤患者在创伤应激后出现营养不良情况下给予联合肠外与肠内营养支持的治疗效果。方法随机选择52例重型颅脑外伤住院患者,在获得血流动力学稳定后给予联合肠内与肠外营养支持,观察营养支持前及营养支持7、14 d时白蛋白、前白蛋白、转铁蛋白、淋巴细胞计数、血糖、血脂、电解质、肝功能的变化。结果经过联合营养支持后,营养指标白蛋白、前白蛋白、转铁蛋白、淋巴细胞计数均有上升,与营养支持前比较差异有统计学意义(P0.05)。结论重型颅脑损伤患者给予联合肠外肠内营养支持,是该类患者综合治疗的有效措施之一。

Effect of parenteral and enteral nutritional support in patients with severe craniocerebral trauma

Objective To retrospectively analyse the effect of parenteral and enteral nutritional support on severe craniocerebral trauma.Methods Fifty-two patients with severe craniocerebral trauma were supplied parenteral and enteral nutritional support after hemodynamic stability and completely resuscitated.The blood samples were collected before nutritional support and day 7,14 for measurement of albumin,pre-albumin,transferring,lymphocyte count,serum glucose,triglyceride,electrolytes and transaminase.Results After nutritional support,the level of the albumin,pre-albumin,transferring and lymphocyte count were obviously increased compared with before nutritional support,and the difference was significant.Conclusion It is an efficacious management to supply severe craniocerebral trauma patients who were severe malnutrition for nutrition support.