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术后早期应用肠内营养五例报告
目的总结术后早期(24~36小时)肠内营养应用的经验,疗效及并发症.方法总结三年来我院实施5例术后早期肠内营养的方法、疗效及并发症.结果5例术后早期肠内营养的病人疗效满意,病人营养状况改善,体重增加,原发病(2例高位肠痿,3例胰、十二指肠、脾等脏器损伤)均治愈.5例中仅一例出现恶心,予对症治疗后缓解,2例高位肠痿应用肠内营养4周痊愈出院.3例多发脏器损伤应用肠内营养7~10天,均于2周出院.无感染发生.结论本组资料显示,术后早期应用肠内营养,既能改善病人营养状况,又可保护肠粘膜屏障作用,是防止术后感染的方法之一.
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液体与粉剂肠内营养制剂在配制时间与污染方面的对比研究
目的比较液体与粉剂肠内营养制剂在配制时间与污染情况的差异.方法肠内营养支持患者20例.随机分为两组:一组病人使用液体肠内营养制剂为研究组,另一组病人使用已上市的粉剂肠内营养制剂为对照组,每组各10例.分别按计划给病人进行6天以上的肠内营养支持,观察两种肠内营养制剂配制的时间和输注前后细菌培养的情况.结果1.配制液体时间观察:研究组平均配液时间18.9±3.0s,对照组平均配液时间106.0±21.0s(P<0.001).2.细菌培养结果:两组营养液在输注前细菌培养均为阴性,在使用6小时后取残液培养,对照组阳性2例,占20%,而研究组仍为阴性,两组之间稍有差异(P=0.14),但无统计学意义.结论液体肠内营养制剂配制时间与污染较粉剂制剂为优.
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严重烧伤患者的早期肠道营养与康复
Objective To explore the effect of rehabilitation through analysis the early enteral feeding on the prevention of enteral infection in severely burned patients .Method A total of 22 patients with severe burns were randomly divided into an early enteral feeding group (EF) and a delayed enteral feeding group (DF). The levels of serum endotoxin were detected in the members of both groups in 1, 3, and 5 days .Result The levels of serum endotoxin in severely burned patients were significantly higher than in normal subjects (P< 0.01) . The levels of serum endotoxin in the EF group were significantly lower than in the DF group (P< 0.01). Conclusion Early enteral feeding may decrease enterogenic infection and it helps the nutrition support, improve the patient resistance, facilitate the repair of damaged tissue , so it contributes to the rehabilitation of burned patients.
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重症脑损伤早期肠内与肠外营养支持的临床对照研究
随着对胃肠道在创伤应激和多器官功能障碍中的作用的深入认识,肠内营养逐渐受到重视,但临床上脑损伤后早期肠内营养(early enteral feeding,EEF),尤其与早期完全胃肠外营养(total parenteral nutrition,TPN)在摄入同等热能、同等氮量的条件下的比较报道较少.笔者采用24 h持续滴注胃肠要素膳的早期鼻饲肠内营养方法与TPN进行比较,探讨其作用差异.现报告如下.