摘要
目的探讨生长激素(GH)加早期肠内营养(EEN)对高血压脑出血(hypertensiveintracerebralhemorrhage,HICH)术后颅外并发症的影响。方法将122例高血压脑出血术后患者随机分成治疗组和对照组,治疗组(61例):术后第2d开始肠内营养(EN)支持,同时每天联合应用GH,连用1周;对照组术后第2d开始胃肠外营养(TPN)支持。观察两组的肺部感染、应激性溃疡、心脏并发症和电解质紊乱发生率。结果治疗组肺部感染、应激性溃疡、心脏并发症和电解质紊乱发生率低于对照组(P<0.05);治疗组肺部感染、应激性溃疡、心脏并发症和电解质紊乱持续时间明显短于对照组(P<0.05)。结论生长激素联合早期肠内营养不仅可改善高血压脑出血术后患者的营养状况,还可减少并发症,提高临床疗效,是一种安全、可行的方法。
Objective To explore the effects of GH added early enter nutrition（EEN） in complications on patient with postoperative hypertensive intra cerebral hemorrhage （HICH）Methods 122 patients with postoperative hyperensive intra Cerebral Hemorrhage were divided into the treat group and control group randomly. The treat group（61 cases）：enter nutrition support was started at the 2nd day after operation, growth hormone was combined simultaneously daily, lasted for one week. The control group （61 cases）： total parenteral nutrition（TPN） support was started at the 2nd day after operation . The incidence of pulmonary infection, stress-related gastric injury, cordis complication ,electrolyte mess were observed between the two groups. Results The incidence of pulmonary infection, stressrelated gastric injury , eordis complication ,electrolyte mess in the treat group was significantly lower than that of the control group （P〈O.OS）.Conclusion Growth hormone combined with early enter nutrition can＇t only quick improve nutrition status,but also reduee complications and increase the clinical effect on patient with postoperative hypertensive intra cerebral hemorrhage.It＇ s a safe and feasible method.
出处
《江西医药》
CAS
2005年第7期378-380,共3页
Jiangxi Medical Journal
基金
广东省东莞市科技计划项目(2004082)
关键词
高血压脑出血
生长激素
早期肠内营养
并发症
hypertensive intra cerebral hemorrhage
growth hormone
early enter nutrition
complication
