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目的探讨早期肠内营养支持与肠外营养对ICU重型颅脑损伤患者营养状况及并发症的影响。方法收集驻马店市第一人民医院2012年6月—2014年6月收治的120例ICU重型颅脑损伤患者,随机分为对照组和观察组,每组60例。对照组给予早期肠外营养支持,观察组给予早期肠内营养支持,比较两组患者的营养状况和并发症发生情况。结果入院1周后经血液检测发现观察组患者的总蛋白(TP)和白蛋白(ALB)水平分别为(37.69±6.28)g/L、(72.83±8.20)g/L,明显高于对照组,比较差异具有统计学意义(P<0.05)。观察组治疗期间的并发症发生率为15%,对照组为41.67%。差异具有统计学意义(P<0.05)。结论对ICU重型颅脑损伤患者提供早期肠内营养支持可有效改善其营养状况,降低并发症发生率,具有临床推广价值。
Objective To investigate the effect of early enteral nutrition support and parenteral nutrition on nutritional status and complications of ICU patients with severe craniocerebral injury. Methods A total of 120 ICU patients with severe craniocerebral trauma admitted to the First People’s Hospital of Zhumadian City from June 2012 to June 2014 were randomly divided into control group and observation group with 60 cases in each group. The control group was given early parenteral nutrition support, and the observation group was given early enteral nutrition support. The nutritional status and complications of the two groups were compared. Results One week after admission, the levels of total protein (TP) and albumin (ALB) in the observation group were (37.69 ± 6.28) g / L and (72.83 ± 8.20) g / L respectively, which were significantly higher than those in the control group , The difference was statistically significant (P <0.05). The observation group during the complication rate was 15%, control group was 41.67%. The difference was statistically significant (P <0.05). Conclusion Providing early enteral nutrition support for ICU patients with severe traumatic brain injury can effectively improve their nutritional status and reduce the incidence of complications, which is of clinical value.