【摘要】 目的探讨持续泵入等热量不同糖成分营养制剂对重型颅脑损伤患者血糖的影响。方法 60例重型颅脑损伤患者随机分为普通肠内营养制剂组(30例)和糖尿病专用型肠内营养制剂组(30例),在相等非蛋白热量(104.6kJ/Kg·d)摄入条件下,进行14天不同糖成分的肠内营养制剂对重型颅脑损伤患者血糖影响的前瞻性随机对照研究。结果两组患者2周内每日平均血糖水平及每日平均胰岛素剂量比较差异无显著性(P>0.05)。28天生存率和改良Rankin评分两组比较差异均无显著性(P>0.05)。结论持续肠内泵入普通肠内营养制剂和糖尿病专用型肠内营养制剂对血糖影响差异不明显,重型颅脑损伤并发高血糖患者可选择该制剂。更多还原

【Abstract】 Objective To investigate the effect of blood glucose of nutrition with different sugar component for paitients with severe traumatic brain injury.Methods 60 cases of severe traumatic brain injury patients were randomly divided into normal enteral nutrition group (30 cases) and diabetes-specific enteral nutrition group (30 cases),in the same non-protein calories (104.6 kJ /Kg·d) intake conditions,for 14 days with different sugar composition of enteral nutrition.A prospective randomized controlled study on the effect of blood glucose with different sugar component was performed.Results There were no significant differences of daily average blood glucose level or the average daily insulin dose between the two groups within 2 weeks (P>0.05).The 28 days survival rate and modified Rankin score between the two groups were not significantly different (P>0.05).Conclusion There is no significant difference between continuous enteral pump of ordinary enteral nutrition and diabetes-specific enteral nutrition on blood glucose in patients.They can all be applied in severe traumatic brain injury patients complicated with hyperglycemia.更多还原