| 曾钧发骆志清申文娟桂培根.燕麦米汤对严重烧伤患者休克期肠道复苏的影响[J].,2011,11(2):320-322 |
| 燕麦米汤对严重烧伤患者休克期肠道复苏的影响 |
| Influence of Enteral Feeding of Oat Rice Soup on Enteral Resuscitation inPatients with Severe Burn During Shock Stage |
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| DOI： |
| 中文关键词: 烧伤 休克 肠道复苏 燕麦 米汤 |
| 英文关键词: Burns Shock Enteral resuscitation Oat rice Soup |
| 基金项目:南华大学附二医院科研基金资助项目（2008S18） |
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| 中文摘要: |
| 目的：研究严重烧伤患者休克期经肠道给予燕麦米汤对肠道复苏的影响。方法：选取烧伤面积≥30%TBSA的患者42例，并
随机分为：燕麦米汤组，伤后24h 内开始经鼻肠管给予燕麦米汤；对照组，伤后24 h 内开始经鼻肠管给予50g/L葡萄糖盐水,连续
4d，每组21例。在伤后1、2、3、4 d 分别检测其血清二氨氧化酶（DAO）值及动脉血乳酸（LAC）含量,观察两组患者腹胀缓解时间、
肠鸣音恢复时间等临床指标。结果：两组患者伤后血清二氨氧化酶及动脉血乳酸含量均呈下降趋势，燕麦米汤组血清二氨氧化酶
在伤后2、3、4 d 显著低于对照组(P< 0.01), 而脉血乳酸含量在伤后2、3 d 显著低于对照组(P< 0.05 或0.01),治疗过程中燕麦米汤
组其腹胀缓解时间、肠鸣音恢复时间、排气时间、开始完全肠内营养时间、继发感染例数均优于对照组(P< 0.01)。结论：在严重烧伤
休克期尽早鼻饲燕麦米汤能较好地促进肠道复苏。 |
| 英文摘要: |
| Objective: To investigate the influence of the enteral feeding of oat rice soup on enteral resuscitation of patients with
severe burn during shock stage. Methods: A total of 42 TBSA patients with burning area percentage ≥30% were divided randomly into
two groups: oat rice soup group (21 cases), feeded oat rice soup through nasal-intestinal tube within 24 hours after injury; control group(21
cases), feeded 50g/L glucose solution through nasal-intestinal tube within 24 hours after injury. Enteral feeding lasted for 4 days. The
diamine oxidase(DAO) and the content of arterial blood lactate (Lac) were measured respectively at 1, 2, 3, 4 days after injury. The clinical
indicators such as abdominal distension relief time, bowel sound recovery time and flatus recovery time et al were detected. Results: The
content of serum diamine oxidase and arterial blood lactate were decreased in patients of both groups of after injury. The serum diamine
oxidase of oat rice soup group was significantly lower than that of the control group at 2, 3, 4 days after injury (P＜0.01), and arterial
blood lactate was significantly lower than the control group in 2, 3 days after injury (P＜0.05 or 0.01). Abdominal distension relief time,
bowel sound recovery time and flatus recovery time, total enteral nutrition starting time and the number of cases of secondary infection in
the course of treatment were better than those of the control group (P<0.01). Conclusion: Early enteral feeding of oat rice soup in shock
period of severely burned patients can promote the enteral resuscitation. |
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