燕麦米汤对严重烧伤患者休克期肠道复苏的影响

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24h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、4d显著低于对照组（P〈0.01）,而脉血乳酸含量在伤后2、3d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。

Influence of Enteral Feeding of Oat Rice Soup on Enteral Resuscitation in Patients with Severe Burn During Shock Stage

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（P0.01）.Conclusion：Early enteral feeding of oat rice soup in shock period of severely burned patients can promote the enteral resuscitation.