早期营养支持对重型颅脑外伤患儿ICU治疗时间和预后的影响

摘要

目的：探讨早期营养支持对重型颅脑外伤患儿IC U治疗时间及预后的影响。方法选取我院IC U病房收治的70例重型颅脑外伤患儿，按照入院先后顺序分为观察组（40例）和对照组（30例），对照组给予常规肠外营养支持，观察组行早期综合营养支持，对比2组IC U治疗时间指标及预后情况。结果观察组IC U治疗时间、开始营养支持时间均明显短于对照组（ P＜0.05）。观察组预后良好率52.5％，明显高于对照的20.0％，观察组病死率12.5％，低于对照组的33.3％，差异均有统计学意义（P＜0.05）。观察组胃肠道并发症发生率明显低于对照组（P＜0.05）。结论早期综合营养支持治疗重型颅脑外伤患儿能有效缩短患儿IC U治疗时间，预后良好，并发症发生率低，值得临床推广。%Objective To investigate the effect of early nutritional support on ICU treatment time and prognosis in children with severe craniocerebral injury.Methods 70 children with severe craniocerebral injury in ICU in our hospital from March 2012 to March 2014 were selected in accordance with the order of admission and were divided into observation group (40 cases) and control group (30 cases) ,and children in control group were treated with conventional parenteral nutritional support ,ob‐servation group children received early comprehensive nutritional support.The ICU treatment time and prognosis were com‐pared in two groups.Results ICU treatment time and the initial time of nutritional support in observation group were signifi‐cantly shorter than that in the control group(P<0.05). The rate of favourable prognosis in observation group was 52.5% , which was significantly higher than 20% in control group. The mortality of 12.5% in observation group was statistically lower than 33.33% in the control group(P<0.05). In addition ,the incidence of gastrointestinal complications in observation group was significantly lower than that in the control group(P<0.05). Conclusion Early comprehensive nutrition support therapy in children with severe craniocerebral injury can effectively shorten the treatment time with the benign prognosis and low compli‐cation rate ,which should be worthy of promotion.