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目的探讨对颅脑外伤患者实施早期营养支持对患者康复的应用效果。方法将92例颅脑外伤患者随机分为干预组和常规组2组,每组46例,常规组实施早期肠外营养,干预组采用早期营养支持,比较2组患者康复情况、生活质量和胃肠道反应。结果干预组患者GCS、SFMA、Barthel评分均高于常规组,组间比较差异均有统计学意义(P<0.05)。干预组患者生理职能、生理功能、健康状况、情感职能、社会职能评分等指标均高于常规组,组间比较差异均有统计学意义(P<0.05)。干预组患者恶心呕吐、腹胀、腹泻、胃肠出血、胃潴留等胃肠道反应发生率均低于常规组,组间比较差异均有统计学意义(P<0.05)。结论颅脑外伤患者早期营养支持可促进患者良好康复,降低胃肠反应,提高患者生活质量。
Objective To investigate the effect of early nutritional support on rehabilitation of patients with traumatic brain injury. Methods Ninety-two patients with traumatic brain injury were randomly divided into two groups: intervention group and conventional group, with 46 cases in each group. Conventional group received early parenteral nutrition. Early intervention group received early nutrition support. The rehabilitation, quality of life and stomach Intestinal reaction. Results The scores of GCS, SFMA and Barthel in the intervention group were higher than those in the conventional group, and there were significant differences between the two groups (P <0.05). The indexes of physical function, physiological function, health status, emotional function and social function score of the intervention group were higher than those of the conventional group, and the differences among the groups were statistically significant (P <0.05). The incidence of gastrointestinal reactions such as nausea and vomiting, bloating, diarrhea, gastrointestinal bleeding and gastric retention in the intervention group was lower than that in the conventional group, with significant difference between the two groups (P <0.05). Conclusion Early nutritional support for craniocerebral trauma patients can promote good recovery, reduce gastrointestinal reactions and improve the quality of life of patients.