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破伤风病人早期肠内营养支持的效果研究

A study on effect of early stage enteral nutritional support for patients with tetanus

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【作者】 黄彤林丽华冯碧英

【Author】 Huang Tong,Lin Lihua,Feng Biying(Affiliated Hospital of Guangdong Medical College, Guangdong 524001 China)

【机构】 广东医学院附属医院广东医学院附属医院 524001524001

【摘要】 [目的]观察肠内营养支持对破伤风病人的干预作用。[方法]对3 3例破伤风病人(肠内营养组)于入院48h内给予肠内营养支持,观察其对营养指标以及对愈后的影响,并与未用肠内营养支持的3 8例破伤风病人(对照组)进行比较。[结果]肠内营养组病人在营养支持后,体重指数、上臂肌围、三头肌皮褶厚度均高于对照组,但无统计学意义(P >0 .0 5 ) ;对照组病人血红蛋白、血清蛋白和外周血淋巴细胞的下降较肠内营养组明显,有统计学意义(P <0 .0 5 ) ;肠内营养组并发症发生率(15 .2 % )低于对照组(3 9.5 % ) ,两组比较有统计学意义(P <0 .0 5 )。[结论]肠内营养支持可以改善破伤风病人营养状况,降低并发症发生率。

【Abstract】 Objective:To observe the intervention effect of enteral nutritional support on tetanus patients.Methods:A total of 33 tetanus patients (enteral nutrition group) were given enteral nutritional support within 48 hours after admission, then the changes of nutritional indexes and prognosis of them were observed. Compared with another 38 tetanus patients (control group) who did not accepted enteral nutritional support.Result:In terms of the body mass index, arm muscle circumference and triceps skin fold in patients of test group after nutritional support were higher than that in control,but there were no statistical differences(P>0.05).However, in terms of hemoglobin ,albumin and lymphocyte of peripheral blood in patients of control group were decreased obviously than that in test group,there were statistical differences between the two groups(P<0.05).Conclusion:Enteral nutritional support could improve the nutritional conditions for tetanus patients. And it can lower down the incidence of complications for these patients as well.

【关键词】 肠内营养破伤风营养不良
【Key words】 enteral nutritiontetanusmalnutrition
【基金】 湛江市科技攻关项目 ,项目编号 :湛科 [2 0 0 4 ] 75号
  • 【分类号】R473.6
  • 【被引频次】6
  • 【下载频次】54
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