| Objective:This paper is about the curative effect and the safety of diason as the enteral nutritional agent of neurosurgery intensive patients with stress hyperglycemia, by comparing the blood glucose with nutrison during treatment。Methods:We chose 60 patients for this research, who were treated in neurosurgery ICU of the second clinical hospital which belong to Jilin University during December 2009 to October 2010。The 30 patients were all after the operation。They were all in consciousness obstacle more or less and could not eat independently。They did not have the history of diabetes。Before EN, in twice examination their FBG were all above 7.1mmol/L。We divided these 60 patients into two groups at random, every group had 30 patients。Within the 48hours after their operation, we began to give them enteral nutrition support。We gave the experimental group diason as the enteral nutritional agent and at the same time we gave the control group nutrison。During the treatment, all patients were no exogenous energy besides water。We survey the FBG of the two groups four times in EN,4days,7days and 10days after EN。We survey the TG of the two groups three times in EN, 5 days, 10days after EN。We also survey the times of the diarrhea, abdominal distention, stress ulcer。Results:①After the research we found that the FBG of patients who use the diason are steady, the FBG of 4days,7days and 10days after EN have little different comparing with the FBG of EN, (P>0.05)。And we found that the FBG of patients who use the diason are lower than the FBG of patients who use the nutrison, (P<0.01)。②During the treatment the TG of patients who use the diason have little different comparing with the TG of patients who use the nutrison, (P>0.05)。③The two group patients have little obvious gastrointestinal adverse reactions。Conclusions:1,Diason is effective on controlling the blood glucose of neurosurgery intensive patients with stress hyperglycemia。2,Diason is safe and has little adverse reactions。... |
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