【摘要】 目的 评价早期胃肠道营养在重型颅脑外伤患者中的治疗效果。 方法 56例重型颅脑外伤患者分为肠内营养组(EN组)30例，全胃肠外营养组26例(TPN组)，分别给予肠内营养和胃肠外营养支持，观察治疗前后血浆中的血清总蛋白、白蛋白、前白蛋白、血红蛋白、淋巴细胞数的变化，GCS分值、大便潜血情况以及住院时间、住院期间的存活率。 结果 两组患者血清总蛋白、白蛋白、前白蛋白、血红蛋白、淋巴细胞数水平无明显变化，EN组住院时间明显短于TPN组，两组患者的存活率差异无显著性。 结论 早期胃肠道营养不但简便易行，而且可以减轻重型颅脑外伤患者的肠源性内毒素血症，缩短住院时间，减少医疗费用。

    【关键词】 胃肠道营养;重型颅脑外伤

    【Abstract】 Objective To investigate the efficacy of earlier gastroenteric nutrition in patients with severe cranicere-bral trauma.Methods 56cases of severe cranicerebral trauma were randomly divided into two groups，one supported with gastroenteric nutrition(30cases)and another with parenteral nutrition(26cases).The serum total protein，albu-min，hemgolobin and lymphocyte levels were detected.Fecal occult blood tests were investigated.The hospital stay and survival rates were observed.Results No differences were observed between the two groups in the serum levels of to-tal protein ......