46例脑外伤病人机械通气时的营养支持治疗.pdfVIP

昆明医学 院学报 2008，(1)：131—133 CN 53—1049／R Journal of Knnming Medical University 46例脑外伤病人机械通气时的营养支持治疗 丁文俐 (昆明市延安医院，云南昆明 650021) [摘要]目的 对46例脑外伤病人机械通气时的营养支持治疗进行总结分析，比较不同营养支持疗法的临 床价值．方法 收集我院中心ICU 2000年1月至2005年1 0月间收住的脑外伤具有机械通气适应汪的病人分 别应用部分肠道内和部分肠道外营养 (PENPPN)和肠道内营养 (EN)支持治疗，观察、分析两组营养支持治 疗后一般情况、营养指标、并发症及转归情况．结果 两组营养支持疗法都可以提供足够的营养支持，改善病 人营养代谢指标；PENPPN组同时还能降低并发症，更安全有效．结论 结合脑外伤机械通气病人的能量代谢 特点，对于胃肠道功能完整或具有部分胃肠道功能的病人应用PENPPN是可行、经济、有效的． [关键词]脑外伤；机械通气；营养支持 [中图分类号]R459．3[文献标识码]A[文章编号]1003-4706(2008)01—0131—03 The Nutritional Therapy of 46 Patients with Brain Inj ury during Mechanical Ventilation DING Wen—li (Kunming Yah’帆Hospital，Kunming Yunnan 65003 1，China) [Abstract]Objective To analyze the nutritional therapy of 46 patients with brain injury who were treated by PEEP or CPAP，then to compare the effect in different nutritional therapies．Methods The patients，with brain injury in ICU from Jan 2001 to Oct 2005 who had ever been treated by PEEP or CPAP，were collected and separated into two groups(PENPPN group and EN group)，and general condition，nutritional indexes，complications， and outcomes of treatment were observed．Results Either PENPPN or EN group could provide enough nutrition support to the patients and nutrition metabolism in both groups improved．But PENPPN group showed safer and more efficient results．Conclusion Traumatic brain injury patients with mechanical ventilation characteristics of the energy metabolism．For the patients with complete or incomplete gastrointestinal function，PENPPN is feasible， economic and effective． [Key words]Brain injury；Mechanical ventilation；Nutrition support 危重病人的营养支持越来越受到重视．很多 外营养(partial enteral nutrition and