Analysis of the complications related to early enteral nutrition in severe head injured patients
- VernacularTitle:重型颅脑损伤后早期肠内营养相关并发症分析
- Author:
Qiyou SHEN
;
Yunan HUANG
- Publication Type:Journal Article
- Keywords:
Severe craniocerebral injury;
Early enteral nutrition;
Complicationt
- From:
Parenteral & Enteral Nutrition
1997;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To observe the clinical features,related factors,prevention and treauments of complications on early enteral nutrition(EN) in severe head injured patients.Methods:360 patients with severe head injuries were enrolled in this study.GCS score was used to assess the patient's situation.After nasogastric(jejunal) tube was inserted,enteral nutrition was started from 48 hours after injury.The maximal EN volume(mL/d) in the first week after injury,time used for reaching to TEN(d),number of patients that achieved TEN in the first week following injury,blood glucose,serum albumin and ALT were observed.The complications due to enteral nutrition were analyzed. Results:Features of complications with early EN were that the abdominal distension,vomiting and aspiration were found in the first week and diarrhea occurred in the following weeks.A positive correlation between abdominal distension,vomiting and nasogastric tube was noted,while diarrhea had a negative correlation to GCS score and albumin level. Conclusions:The complications related to early enteral nutrition after severe head trauma correlated inversely to the degree of injury and serum albumin level.Utilization of nasojejunal tube could decrease the incidences of abdominal distension and vomiting.
