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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(P<0.01)。高剂量摄入组病人医院内病死率明显低于其他两组(P<0.01),住院时间亦明显缩短,差异有显著性统计学意义(P<0.05)。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。
Objective: To evaluate the effect of different doses of nutritional support on the prognosis of traumatic patients. Methods: The data of 217 trauma patients were retrospectively analyzed. According to the ratio of actual caloric intake to target volume, 67 cases were in low dose (<50%) intake group and medium dose (50% ~ 80%) in ingestion group 71 Cases, high-dose (> 80%) intake group of 79 cases. The general data of three groups of patients, days of hospitalization, days of ICU stay, infection complications and mortality were compared. Results: The intake of protein in high-dose ingestion group was higher than the other two groups (P <0.01). High-dose intake of patients hospital mortality was significantly lower than the other two groups (P <0.01), hospitalization was significantly shorter, the difference was statistically significant (P <0.05). K-M (Kaplan Meier) survival analysis at 60 days showed that early enough patients with nutritional support had higher survival rates than the other two groups. Conclusion: Early and effective nutritional support can reduce the mortality of trauma patients and shorten the hospital stay.