肠外序贯肠内营养的不同时机选择对颅脑损伤患者CRP与IgG、IgM的影响
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摘要
目的探讨肠外序贯肠内营养支持在重型颅脑损伤患者应用中最佳时机的选择。方法 2015年12月-2018年6月我院ICU住院患者60例,(GCS评分5～8分)随机分为两组,A组为入院第3天进行肠内营养支持治疗,B组第5天进行营养支持,观察两组的CRP与IgG、IgM的变化。结果 A组优B组(P<0.05)。结论对重型颅脑损伤患者尽早进行肠内营养治疗能够缩减患者在院时间、纠正营养失衡、减少并发症,利于患者预后。
引文
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[2]McEvoy CT,Cran GW,Cooke SR,et al.Resting energy expenditure in nonventilated,non-sedated patients recovering from serioustraumatic brain injury:comparison of prediction equations with indirect calorimetry values[J].Clin Nutr,2009,28(5):526-532.
[3]ZHU W,ZHAO HQ,CHENG QZ,et al.Significance of detecting specific protein in serum and cerebrospinal fluid in patients with central nervous system infection[J].Journal of Clinical Neurology,2010,23(3):177-180.
[4]王婷,许磊,杨文群,等.创伤后肠内营养喂养不耐受的影响因素分析[J].重庆医学大学学报,2016,41(3):274-277.
[5]郑秀萍,马莉,赵若华,等.吴茱萸穴位贴敷对重型颅脑损伤术后患者胃肠功能障碍疗效观察[J].海峡药学,2015,27(9):84-85.