规范化营养治疗流程在危重症颅脑损伤患者中的应用效果
作者: |
1孙秋香,
1王妮娜,
1朱敏
1 扬州大学附属医院重症医学科,江苏 扬州 225002 |
通讯: |
王妮娜
Email: wagrmyy@163.com |
DOI: | 10.3978/j.issn.2095-6959.2020.07.019 |
摘要
目的:探讨规范化营养治疗流程在危重症颅脑损伤患者中的应用效果。方法:选取2016年1月至2019年3月扬州大学附属医院收治的96例危重症颅脑损伤患者,按照入院时间先后分为对照组与观察组,每组48例。对照组患者予以常规营养治疗,观察组患者则予以实施规范化营养治疗流程。护理干预2周后,分别对两组患者的营养状况、炎症状态、康复情况以及并发症情况进行比较。结果:1)观察组患者的血清血红蛋白(haemoglobin,Hb)、白蛋白(albumin,ALB)、前白蛋白(prealbumin,PAB)水平均显著高于对照组,而正氮平衡时间显著较对照组短,差异有统计学意义(P<0.05);2)观察组的血清C反应蛋白(C-reactive protein,CRP)、淋巴细胞计数(lymphocyte count,TLC)水平均显著低于对照组,差异有统计学意义(P<0.05);3)观察组患者的并发症发生率(6.25%)显著低于对照组(22.92%),差异有统计学意义(P<0.05);4)观察组患者的格拉斯哥昏迷评分(Glasgow Coma Score,GCS)明显高于对照组,肛门排气时间、平均住院时间以及病死率均显著少于对照组,差异有统计学意义(P<0.05)。结论:对危重症颅脑损伤患者实施早期的规范化营养治疗,能够有效改善患者机体营养状态、炎症状态,促进预后,并减少并发症的发生,值得在临床上广泛推广。
关键词:
危重症颅脑损伤;规范化营养治疗;肠内营养支持;临床应用;并发症
Application effect of standardized nutrient treatment procedure in critically ill patients with craniocerebral injury
CorrespondingAuthor: WANG Nina Email: wagrmyy@163.com
DOI: 10.3978/j.issn.2095-6959.2020.07.019
Abstract
Objective: To explore the application value of standardized nutrition treatment process in critically ill patients with craniocerebral injury. Methods: From January 2016 to March 2019, 96 patients with severe craniocerebral injury were selected and divided into a control group and an observation group according to the time of admission, 48 cases in each group. Patients in the control group were given routine nutritional treatment, while patients in the observation group were given standardized nutritional treatment process. After 2 weeks of nursing intervention, nutritional status, inflammatory status, rehabilitation and complications were compared between the 2 groups. Results: The levels of serum hemoglobin (Hb), albumin (ALB), prealbumin (PAB) in the observation group were higher than those in the control group, while the positive nitrogen balance time was shorter than that in the control group (P<0.05). The levels of serum C-reactive protein (CRP) and lymphocyte count in the observation group were lower than that in the control group (P<0.05). The incidence of complications in the observation group (6.25%) was lower than that in the control group (22.92%) (P<0.05). The Glasgow Coma Score (GCS) score of the observation group was higher than that of the control group, and the time of anal exhaust, average hospital stay and mortality were significantly less than those of the control group (P<0.05). Conclusion: Early standardized nutritional therapy for patients with critical craniocerebral injury can effectively improve the nutritional and inflammatory status of patients, promote prognosis, and reduce complications, which is worthy of wide clinical promotion.
Keywords:
critical craniocerebral injury; standardized nutrition therapy; enteral nutrition support; clinical application; complications