早期肠内营养在ICU重型颅脑损伤患者中的应用

目的探讨ICU重型颅脑损伤患者早期肠内营养的疗效。方法将100例ICU重型颅脑损伤患者随机分为对照组和治疗组。对照组肠外营养支持;治疗组完全肠内营养支持。比较两组的血清白蛋白（ALB）、总蛋白（TP）和并发症等指标。结果入院后第8天治疗组的营养状况优于对照组（P〈0.05）,胃肠道并发症及其他并发症的发生率低于对照组（P〈0.05）,预后亦较对照组有明显改善。结论 ICU重型颅脑损伤患者早期肠内营养,不仅可以改善病人全身代谢状况,减少负氮平衡,而且还能提高免疫功能,改善预后。

Comparative study on the early nutritional support for ICU patients with severe craniocerebral injury

Objective To observe the effects of early nutritional support for ICU patients with severe craniocerebral injury Methods 100 ICU patients with severe craniocerebral injury were randomly divided into two groups,control group and observed group.The control group received total parenteral nutrition.The observed group received total enteral nutrition.finally.Nitrogen balance,ALB,TP,and complications were estimated in two group continuously.Results After 8 days,blood albumin and serum total protein in observed group were better than those in control group(P<0.05).And the complication in observed group was less than that in control group(P<0.05).Conclusion Early nutritional support can improve metabolic status,the immune function and the nitrogen balance in severe craniocerebral injury.