不同液体管理方案对ICU老年重症颅脑损伤术后患者组织氧合及肠功能.DOC

早期肠内营养对ICU老年重症颅脑损伤术后患者肠功能的影响 朱瑶丽1 ,孔凡根2 ,朱春丽3 ,王小华1 , 杨嘉雯1、李晶1 （1.中山大学附属第五医院重症监护科，珠海 519000；2. 中山大学附属第五医院神经外科，珠海 519000；3.广东省第二人民医院移植科，广州 510000） 【摘要】目的 探讨不同液体管理方案对ICU老年重症颅脑损伤术后HR、CVP 、MAP、PAWPPAP、CO、PVR、SVR及Lac较对照组均可见显著改善(P0.05)；观察组患者的各项氧代谢指标均较对照组有明显改善(P0.05)；观察组患者的平均肠鸣音恢复时间及肛门排气/排便时间均短于对照组，腹痛、腹泻、腹胀现象的发生率均低于对照组，差异具有统计学意义(P0.05)。结论 早期肠内营养支持疗法可明显改善ICU老年重症颅脑损伤术后患者老年重症颅脑损伤术后组织氧合肠功能 Department of ICU,ifth Affiliated Hospital of Sun Yat-sen University,Zhuhai 519000,China； 2.Department of Neurosurgery, The Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 519000, China; 3.Department Of Organ Transplantation,Guangdong No.2 Provincial Peoples,Guangzhou，Guangzhou 510317，China） Abstracts：Objective： To investigate the effect of different liquid management on the oxygenation and function of the patients after severe craniocerebral injury in ICU aged patients.. Methods: The 2012 January 2015 to December in our hospital during the period of 72 cases of severe craniocerebral injury after operation patients as the research object, randomly assigned for control group and the experimental group (36 cases) and control group was treated with sequential therapy of enteral nutrition and parenteral nutrition support, the study group of patients with early enteral nutrition support therapy. The circulatory function, tissue oxygenation function and intestinal function index of the two groups were compared after treatment. Results: The observation group HR, CVP, map, PAWP, mPAP, Co, PVR and SVR and LAC than in the control group showed improved significantly (P 0.05); observation group were the oxygen metabolism index were lower than those in the control group improved significantly (P 0.05); observation group of patients with average recovery of bowel sound time and the anus exhaust / defecation time were shorter than the control group, abdominal pain, diarrhea, bloating the incidence was significantly lower than that of control group, the difference is statistical significa