【摘要】 目的观察重型颅脑损伤患者肠内营养的疗效。方法选择92例重型颅脑损伤患者随机分为对照组(家属提供鼻饲液)和治疗组(营养师配制鼻饲液),治疗组采用匀浆膳汤内服支持,鼻饲前检查胃管,抬高床头,鼻饲中注意营养液的量、温度、速度、次数,鼻饲后1小时不翻身、叩背,观察患者的生化指标和并发症,对长期应用匀浆膳患者的血浆总蛋白(TP)、血红蛋白(HB)、血清蛋白(ALb)、淋巴细胞计数(LYM)进行测定。结果与入院时比较,鼻饲20天后治疗组体重减轻不明显,TP、Hb、Alb、K+、Na+、Glu无明显变化(p>0.05);对照组体重减轻明显,TP、Hb、Alb、K+、Na+、Glu均有显著改变(p<0.05)。两组患者恢复期(肠内营养两月)的TP、Hb、Alb、LMY、Glu比较,差异均有显著性(p<0.05)。结论匀浆膳对重型颅脑损伤患者肠内营养支持具有效果理想、胃肠道并发症发生率低等特点。更多还原

【Abstract】 Objective To observe the curative effects of enteral nutrition support on severe craniocerebral injuries.Methods Ninty-two patients of severe craniocerebral injuries were randomly divided into two groups: control group(enteral nutrition supported by families) and treatment group(enteral nutrition prepared by nutritionist),Before feeding,the feeding tubes were checked and the heads of patients were raised.The quantity,temperature,feeding-speed and feeding times of nutrient water were considered during feeding.The patients could not be turned over and one hour after feeding,the patients were tapped in the back.The biochemistry indicators and side effects were observed,and the TP,Hb,Alb,LYM in the patients could be determined.Results The TP,Hb,Alb and LYM of treatment group increased obviously after nutrition support(p< 0.05).Conclusions Standard enteral nutrition has a good curative effect on the patients with severe craniocerebral injuries,and the skill reduced the incidence of gastrointestinal side effects.更多还原