不同剂量营养支持对创伤病人预后的影响

发布时间：2018-01-29 03:08

本文关键词： 创伤营养支持预后　出处：《肠外与肠内营养》2017年02期 　论文类型：期刊论文

【摘要】：目的:评价不同剂量营养支持对创伤病人预后的影响。方法:回顾性分析217例创伤病人的资料,按照实际热量摄入与目标量的比例分为低剂量(50%)摄入组67例,中等剂量(50%~80%)摄入组71例,高剂量(80%)摄入组79例。对三组病人的一般资料、住院天数、入住ICU天数、感染并发症、病死率进行比较分析。结果:高剂量摄入组病人蛋白质的摄入量高于其他两组(P0.01)。高剂量摄入组病人医院内病死率明显低于其他两组(P0.01),住院时间亦明显缩短,差异有显著性统计学意义(P0.05)。60 d的K-M(KaplanMeier)生存分析显示,早期足量的营养支持病人生存率高于其他两组。结论:早期有效的营养支持能降低创伤病人的病死率,缩短住院时间。
[Abstract]:Objective: to evaluate the effect of different doses of nutritional support on the prognosis of trauma patients. Methods: 217 cases of trauma patients were retrospectively analyzed. According to the ratio of actual calorie intake to target dose, 67 cases were divided into two groups: low dose group (67 cases) and medium dose group (71 cases). There were 79 cases in the high dose group. The general information, the days of hospitalization, the days of staying in ICU, and the complications of infection were analyzed in the three groups. Results: the protein intake of the patients with high dose intake was higher than that of the other two groups (P 0.01). The hospital mortality of the patients with high dose intake was significantly lower than that of the other two groups (. P0.01). The length of hospitalization was also significantly shortened, and the difference was statistically significant. The survival analysis of K-MMA Kaplan Meier showed that there was a significant difference between the two groups (P0.050.60 d). Conclusion: early and effective nutritional support can reduce the mortality of trauma patients and shorten the hospitalization time.
【作者单位】：徐州医科大学附属医院胃肠外科;
【分类号】：R459.3;R641
【正文快照】： 创伤是临床常见的急危症,也是导致病人死亡的重要因素。创伤病人常处于高分解代谢状态,能量需求量增加。因此,营养支持是治疗创伤病人的重要措施之一。营养摄入不足将导致并发症增加,住院时间延长,再住院率和死亡风险升高[1-2],但营养过量又会导致再喂养综合征。创伤病人由于

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