【摘要】 目的:探讨重型颅脑损伤营养支持的临床疗效、支持时间及最佳途径。方法:重型颅脑损伤患者随机分为肠内营养组(EN组)和肠外营养组(PN组) ,每组6 4例,急诊手术后4 8h经不同途径进行额定热卡和氮量的营养支持,监测各项营养指标、代谢指标、营养支持并发症及营养费用,PN组均显著高于EN组。结论:早期EN与PN均能改善机体的营养状况,EN更具有营养全面、简易安全、方便价廉等优点,应作为营养支持的首选途径。更多还原

【Abstract】 Objective:To explore the clinical therapeutic efficacy and the best way of nutritional support and period in patients with severe head injury.Methods:128 patients with severe head injury were divided into internal nutrition group(ENG) and parenteral nutrition group(PNG)at random.Treated by emergent operations and 48 hours later,all the patients received the rationed nitrogen and calorie,containing nutritional support via different pathway.At the same time,we had been monitoring the nutrional indexes,the metabolic indexes,the complications of nutritional support and calculating the nutritional costs during the whole treatment.Results:The nutritional indexes were effectively maintained in both ENG and PNG,but the metabolic indexes,the complications of nutritional support and the nutritional cost of the PNG rose more obviously than those of ENG.Conclusion:Early postoperative EN and PN nutritional support could improve the nutritional status of the patient.EN had much benefit,including comprehensive nutrition,safety,convenience and low costs.It should be the first pathway for mutritional support.更多还原