早期肠内营养素对32例ICU重型颅脑损伤患者营养状况及并发症影响.docVIP

早期肠内营养素对32例ICU重型颅脑损伤患者营养状况及并发症影响 　　【摘要】 目的：观察探讨早期肠内营养支持对ICU重型颅脑损伤患者营养状况及并发症的影响，为临床治疗提供依据。方法：选择2012年2月-2015年2月在笔者所在医院治疗的64例入住ICU治疗的重型颅脑损伤患者为研究对象，随机分为观察组和对照组各32例，观察组患者经鼻胃管给予早期肠内营养素营养支持，对照组患者经鼻胃管给予常规流质饮食，对比观察两组患者营养状况及并发症发生情况。结果：观察组患者治疗1周后，血清白蛋白（ALB）、血浆总蛋白（TP）的检测结果显著优于对照组患者，鼻饲后消化道出血、应激性溃疡、腹胀腹泻、便秘、反流误吸等并发症发生情况显著少于对照组，两组比较差异有统计学意义（P0.05）。结论：对ICU重型颅脑损伤患者给予早期肠内营养支持，可显著改善患者的营养状况，对促进预后和减少胃肠道并发症有积极意义，值得在临床推广应用。 　　【关键词】 早期肠内营养； ICU重型颅脑损伤； 营养状况； 并发症 　　中图分类号 R151.4 文献标识码 B 文章编号 1674-6805（2015）24-0014-03 　　The Effects of Early Enteral Nutrition on Nutritional Status and Complications of 32 Cases with Severe Craniocerebral Injury in ICU/LI Cong.//Chinese and Foreign Medical Research，2015，13（24）：14-16 　　【Abstract】 Objective： To observe the effects of early enteral nutrition support on nutritional status and complications in patients with ICU with severe craniocerebral injury，and provide the basis for clinical therapy.Method：64 cases severe craniocerebral injury in ICU in our hospital from February 2012 to February 2015 were selected as the research objects and they were randomly divided into the observation group and the control group，32 cases in each group.The patients in the observation group were given early enteral nutrition support via nasogastric tube，and the patients in the control group were given conventional liquid diet via nasogastric tube.The occurrence of two groups of patients with nutritional status and complications were compared.Result：The patients in the observation group after 1 weeks of treatment，the serum albumin（ALB），plasma total protein（TP） test results were better than those in the control group patients，gastrointestinal hemorrhage，stress ulcer，abdominal distension and diarrhea，constipation，regurgitation and aspiration and other complications were significantly less than those in the control group，there were significant difference between two groups（P0.05）.Conclusion：Early enteral nutrition support in patients with ICU with severe craniocerebral injury