Early enteral nutrition in patients with severe traumatic brain injury requiring exploratory abdominal surgery
10.3760/cma.j.cn431274-20210628-00698
- VernacularTitle:早期肠内营养在重型颅脑损伤合并腹部创伤术后患者的临床应用
- Author:
Lei LEI
1
;
Yongxi ZHANG
;
Lei LIU
;
Zaisheng LUO
;
Weifeng XIE
;
Zhihong WU
;
Tao ZHENG
Author Information
1. 中国人民解放军陆军第七十二集团军医院普通外科，湖州 313000
- Keywords:
Craniocerebral trauma;
Abdominal injuries;
Enteral nutrition
- From:
Journal of Chinese Physician
2021;23(7):970-973
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of early enteral nutrition in patients with severe traumatic brain injury requiring exploratory abdominal surgery.Methods:The clinical data of 104 patients with severe traumatic brain injury requiring exploratory abdominal surgery treated in the PLA Army 72th Group Military Hospital from January 2016 to December 2020 were retrospectively analyzed. Among them, 47 patients were given early enteral nutrition (24-48 hr) as the observation group, and 57 patients were given delayed enteral nutrition (>48 hr), as the control group. The levels of hemoglobin, albumin, prealbumin, total bilirubin, alanine transaminase, C-reactive protein, white blood cells, postoperative infectious complications and clinical outcomes were compared between the two groups on the 1st, 7th and 14th days after surgery.Results:On the 14th day after operation, the prealbumin level of the observation group was higher than that of the control group, and the leukocyte level of the observation group was lower than that of the control group, with statistical significance ( P=0.020, P=0.013). The hospital stay and hospitalization costs of the observation group were lower than those of the control group ( P=0.017, P=0.032). The incidence of pulmonary infection in the observation group was 10.6%, which was lower than 29.8% in the control group ( P=0.017). Conclusions:Early postoperative enteral nutrition in patients with severe traumatic brain injury requiring exploratory abdominal surgery can significantly improve the nutritional status of patients, reduce the incidence of pulmonary infection, the hospital stay and the hospitalization cost.
