颅脑损伤早期肠内营养临床研究

目的观察颅脑损伤患者早期行肠内营养的效果及与预后的关系。方法将患者随机分为治疗组和对照组各20例，治疗组在伤后24～48h行肠内营养，对照组先行全肠外营养，7d后予以肠内营养，观察并比较两组疗效及并发症。结果两组14d后血清白蛋白均有所下降，对照组下降更明显（P〈0．05）。同时，治疗组负氮平衡及GCS评分均较对照组明显改善（P〈0．05）；实行早期行肠内营养后治疗组消化道出血和胃肠道并发症较对照组降低。结论早期肠内营养可改善患者预后，促进胃肠功能恢复，值得推广应用。

Effect of Early Enteral Nutrition in Brain Injury

Objective To observe the effect of early enteral nutrition in brain injury and analyze its prognosis. Methods 40 cases were randomly divided into treatment group and control group. The treatment group was treated by enteral nutrition 24 - 48h after injury, and the latter one was treated with total parenteral nutrition and with enternal nutrition 7 days later. Results Compared with the control group, the lever of ALB and nitrogen balance of treatment group had significantly been improved （P 〈 0.05 ）. The incidence of digestive system complications and GCS score had significantly decreased in the treatment group（P 〈 0.05 ）. Conclusion Early enteral nutrition can improve patients＇ prognosis and advance the function of stomach, which is more effective and economic and deserve to popularize.