论文部分内容阅读
目的:探讨早期营养支持在重度颅脑损伤治疗中的临床应用。方法:本实验选取在2010年8月份到2011年12月份到我院进行治疗的重度颅脑损伤患者80例为对象,把所有患者随机分为观察组40例(早期肠内外营养支持治疗组)和对照组40例(传统的营养支持治疗组),后进行统计和观察比较两组患者的临床治疗情况。结果:两组患者术后7天、14天时分别测定血红蛋白、淋巴细胞总数、血糖、血浆总蛋白、血浆白蛋白后,两组间进行比较,术后7天观察组患者各项指标检测情况明显优于对照组,P<0.05,差别具有统计学意义;术后14天观察组患者各项指标检测情况与对照组相比,无显著差别,P>0.05,差别无统计学意义;两组并发症情况比较,观察组少于对照组,P<0.05,差别具有统计学意义。结论:在治疗重型颅脑损伤时早期给予合理营养支持,具有提高疗效、明显改善预后的作用,同时能降低并发症发生,建议在临床中推广和使用。
Objective: To investigate the clinical application of early nutritional support in the treatment of severe craniocerebral injury. Methods: Eighty patients with severe craniocerebral injury who were treated in our hospital from August 2010 to December 2011 were enrolled. All patients were randomly divided into observation group (n = 40) (early enteral nutrition support group) And control group 40 cases (traditional nutritional support treatment group), after statistical and observation of clinical treatment of two groups of patients. Results: The levels of hemoglobin, total lymphocytes, blood glucose, plasma total protein, and plasma albumin in the two groups were measured at 7 and 14 days after operation, respectively. After 7 days of operation, the detection of each index in the observation group was obvious P <0.05, the difference was statistically significant; 14 days after the observation group of patients with various indicators of detection compared with the control group, no significant difference, P> 0.05, the difference was not statistically significant; the two groups complicated Symptoms compared with the observation group less than the control group, P <0.05, the difference was statistically significant. Conclusion: In the early treatment of severe craniocerebral injury with reasonable nutritional support, with improved efficacy and significantly improve the prognosis of the role, while reducing the incidence of complications, it is recommended in the clinical promotion and use.