早期肠内营养支持对脑损伤患者体重及胃肠道功能的影响
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【摘要】目的探讨早期的肠内营养支持对脑损伤后患者胃肠道功能及体重的影响。方法将颅脑外伤患者随机分为研究组(40例)和对照组(40例),在热量和氮量摄入相等的条件下,对两组监测数据进行比较。结果研究组出现腹胀、上消化道出血、呕吐反流等胃肠道并发症明显少于对照组;伤后14 d和28 d研究组的肱三头肌皮褶厚度(TSF)、臂围(AMC)及体重均明显优于对照组。结论早期的肠内营养支持能够有助于胃肠道功能的恢复,减缓体重下降,对改善预后有重要临床意义。
【关键词】 肠内营养;脑损伤;体重;胃肠道功能
【Abstract】Objective To explore the effect of early enteral feeding on body weight and function of the gastrointestinal tract in patients with brain injury.Methods 80 cases with craniocerebral trauma were randomly divided into study group(n=40)and control group(n=40).The monitoring data of the two groups were compared under the condition ofequal heat and nitrogen.Results Complications such as abdominal distention,upper gastrointestinal bleeding and vomiting and reflux of the study group were significantly lower than those of the control group. Triceps skinfold thickness(TSF), arm circumference(AMC)and body weight of the study group were significantly greater than those of the control group 14 and 28 days after injury ......
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