【摘要】 目的 探讨在重症颅脑外伤患者中经胃镜放置鼻胃肠结合管早期肠内营养相对于常规的鼻胃管或鼻肠管营养的临床意义。 方法 60例重症颅脑外伤患者随机分为两组，试验组33例，采用经胃镜放置鼻胃肠结合管早期肠内营养;对照组27例，采用常规营养支持方法，对两组患者进行观察和分析。 结果 试验组相对于对照组在营养指标上明显改善，并发症和费用明显减少(P<0.05)。 结论 在重症颅脑外伤患者中，经胃镜放置鼻胃肠结合管早期肠内营养基本上能够解决目前常规的鼻胃管或鼻肠管营养时所遇到的困难，并更加改善营养指标和减少并发症及费用。

    【关键词】 重症颅脑外伤;胃镜;肠内营养

    The research of transnasal-gastroenteric feeding tube through gastroscopy in severe traumatic brain injury patients

    BU Hui-ju，GUYun，XINWen，et al.

    Donghua Hospital，Dongguan523110，China

    【Abstract】 Objective To investigate the advantages of transnasal-gastroenteric feeding tube through gastroscopy nutrition in severe traumatic brain injury patients compared with the normal methods of transnasal-gastro or transnasal-enteric feeding tube nutrition.Methods 60severe traumatic brain injury patients were randomly divided into two groups，group A with33cases，using transnasal-gastroenteric feeding tube through gastroscopy nutrition;group B with27cases，using normal nutrition methods;observed and analysed data of these groups.Results Comparing with group B ......