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目的探讨早期肠内营养支持对重症基底节出血术后患者预后的影响。方法将40例重症基底节出血病人分为EEN(早期肠内营养)组和TPN(肠外营养)组各20例,EEN组在术后24h即开始给予肠内营养支持,TPN组则先行肠外营养支持,待伤后6～8d后再逐步过渡到肠内,观察患者营养状况、血生化及并发症的发生率,并进行比较。结果与TPN组相比,EEN组通过早期的肠内营养支持能较快纠正负氮平衡,营养状况改善明显,消化道出血及二重感染等并发症的发生率显著低于TPN组。结论在基底节出血术后早期施行肠内营养安全有效,可减少并发症,改善患者的预后,降低病死率。
Objective To investigate the effect of early enteral nutrition support on the prognosis of patients with severe basal ganglia hemorrhage. Methods Forty patients with severe basal ganglia hemorrhage were divided into EEN group (early enteral nutrition group) and TPN group (n = 20). EEN group started enteral nutrition support at 24 hours after operation, while TPN group External nutritional support, to be injured after 6 ~ 8d and then gradually transition to the intestine to observe the nutritional status of patients, blood biochemistry and the incidence of complications, and compared. Results Compared with the TPN group, the early enteral nutrition support of EEN group could quickly correct the negative nitrogen balance and improve the nutritional status significantly. The incidence of complications such as gastrointestinal bleeding and double infection was significantly lower in the EEN group than in the TPN group. Conclusions Enteral nutrition is safe and effective in the early stage after hemorrhage of basal ganglia, which can reduce the complication, improve the prognosis of patients and reduce the mortality.