早期肠内营养和延期肠内营养对重型颅脑外伤患者术后的影响比较

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Abstract Objective To investigate the effect of early enteral nutrition and delayed enteral nutrition on postoperative patients with severe craniocerebral trauma. Methods A total of 106 cases with severe craniocerebral trauma who treated in Affiliated Hospital of Nantong University from June 2017 to June 2019 were enrolled. They were divided into control group and observation group groups according to the random number table method, with 53 cases in each group. Enteral nutrition was started in control group from 48 h to 5 d after operation, and enteral nutrition was started in observation group from 24 h to 48 h (excluding 48 h) after operation. Nutritional status, postoperative complication, ICU stay time and glasgow outcome score (GOS) before intervention and after 10 d intervention were compared between two groups. Results There was no significant difference in hemoglobin, albumin and prealbumin between two groups before intervention (P > 0.05). The levels of hemoglobin, albumin and prealbumin after 10 d intervention in observation group were higher than before intervention and control group , and the differences were statistically significant (P < 0.05). The incidence of postoperative diarrhea, pulmonary infection and constipation in observation group were lower than those in control group, and the differences were statistically significant (P < 0.05). The time of admission to the intensive care unit was shorter than that of control group, the GOS scores at the time of discharge of observation group were higher than those of control group, and the differences were statistically significant (P < 0.05). Conclusion Early enteral nutrition can improve nutritional status, reduce the incidence of complications and promote the relief of patients with severe craniocerebral injury. It is worth promoting.

Key words： Early enteral nutrition Delayed enteral nutrition Severe craniocerebral trauma Nutritional status Complications

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	QIN Shu GU Yudan FEI Yaya GONG Peipei JI Xiaoliang

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QIN Shu GU Yudan FEI Yaya GONG Peipei JI Xiaoliang. Comparison of effect of early enteral nutrition and delayed enteral nutrition on postoperative patients with severe craniocerebral trauma[J]. 中国医药导报, 2020, 17(8): 88-91.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I8/88

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