Effects of Enteral Nutrition on Clinical Curative Effect in Elderly Patients with Severe Craniocerebral Diseases
10.3969/j.issn.0253-9896.2014.11.015
- VernacularTitle:肠内营养时机对老年重型颅脑疾病术后临床疗效的影响
- Author:
Ruidong LIU
;
Yipin ZHOU
- Publication Type:Journal Article
- Keywords:
enteral nutrition;
craniocerebral trauma;
cerebral hemorrhage;
aged
- From:
Tianjin Medical Journal
2014;(11):1106-1108,1109
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the best time to establish the enteral nutrition (EN) in elderly patients with se?vere craniocerebral diseases. Methods Eighty-one elderly patients were divided into groups A, B and C. The EN support were given 24 h, 25-48 h, and 49-72 h after surgery. Changes of serum biochemical indexes, complications and GCS score were detected and statistical analysed. Results The serum levels of albumin and hemoglobin were significantly increased in group B than those of group A and group C. The total number of lymphocytes was significantly higher in group A and group B than that of group C (P<0.05). The amount of diarrhea was significantly fewer 7-day after operation in group B than that of group A (3.6%vs 26.9%). The amount of stress ulcer was significantly fewer in group B than that of group C (0 vs 22.2%). The amounts of lung infections (10.7%vs 38.5%) and stress ulcer (3.6%vs 25.9%) were significantly fewer 14-day after oper?ation in group B than those of group A. The scores of GCS were significantly higher 14-day after operation in group B than those of group A and group C (10.2±1.3 vs 9.5±1.2 vs 9.4±1.2, P<0.05). Conclusion The establishment of EN support 25 to 48 hours after surgery may meet the need of nutritional and metabolic support, reduce complications, be conducive to the consciousness recovery in elderly patients with severe craniocerebral diseases.
