首页|高压氧疗法联合早期肠内营养护理对脑外伤昏迷患者意识状态、营养指标的影响

高压氧疗法联合早期肠内营养护理对脑外伤昏迷患者意识状态、营养指标的影响

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目的 对脑外伤昏迷患者采用高压氧疗法联合早期肠内营养护理并探讨其对患者意识状态、营养指标的影响。方法 选取2021年4月—2022年12月本院收治的86例脑外伤昏迷患者为研究对象,按随机数字表法将其分为试验组与参照组,每组43例。参照组给予常规治疗与常规护理,试验组给予高压氧疗法联合早期肠内营养护理。对比两组患者意识状态、营养指标及生活质量。结果 干预前,两组患者CRS-R、PVS评分对比,差异无统计学意义(P>0。05);干预后,试验组患者CRS-R评分和PVS评分均高于参照组(P<0。05)。干预前,两组患者白蛋白、前白蛋白、转铁蛋白营养指标对比,差异无统计学意义(P>0。05);干预后,试验组患者白蛋白、前白蛋白和转铁蛋白均高于参照组(P<0。05)。干预前,两组患者生活质量各项指标对比,差异无统计学意义(P>0。05);干预后,试验组患者生活质量各项评分均高于参照组(P<0。05)。结论 脑外伤昏迷患者采用高压氧疗法联合早期肠内营养护理可提高患者机体营养状态,持续补充患者日常所需营养物质,缩短患者昏迷时间,改善预后,提高其日常生活质量,值得推广。
Effect of Hyperbaric Oxygen Therapy Combined with Early Enteral Nutrition Nursing on Consciousness State and Nutritional Indicators of Coma Patients with Traumatic Brain Injury
Objective To investigate effect of hyperbaric oxygen therapy combined with early enteral nutrition nursing on consciousness and nutritional indicators of comatose patients with traumatic brain injury.Methods The paper chose 86 comatose patients with traumatic brain injury admitted to our hospital from April 2021 to December 2022,and divided them into experimental group and control group with random number table method,with 43 cases in each group.Reference group was treated with routine treatment and routine nursing,while experimental group with hyperbaric oxygen therapy combined with early enteral nutrition nursing.Consciousness status,nutritional indicators,and life quality were compared between two groups.Results Before intervention,there was no statistically significant difference in CRS-R and PVS scores between two groups(P>0.05).After intervention,CRS-R scores(16.78±1.22)and PVS scores(15.37±0.46)in experimental group were higher than control group(P<0.05).Before intervention,there was no statistically significant difference in nutritional indicators of albumin,prealbumin,and transferrin between two groups(P>0.05).After intervention,experimental group showed higher levels of albumin(44.11±1.12)g/L,prealbumin(240.34±3.28)mg/L,and transferrin(2.78±0.21)g/L than control group(P<0.05).Before intervention,there was no statistically significant difference in various indicators of life quality between two groups(P>0.05).After intervention,life quality scores in experimental group were higher than control group(P<0.05).Conclusion Hyperbaric oxygen therapy combined with early enteral nutrition nursing can improve nutritional status of comatose patients with traumatic brain injury,supplement daily nutritional needs continuously,shorten coma time,improve prognosis,and enhance daily life quality of patients,which is worthy of promotion.

Hyperbaric oxygen therapyEarly enteral nutrition nursingComatose patients with traumatic brain injuryConsciousness stateNutritional indicators

涂燕平、戴秀

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南华大学附属第二医院 重症监护室,湖南 衡阳 421200

高压氧疗法 早期肠内营养护理 脑外伤昏迷患者 意识状态 营养指标

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(6)
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