Effects of enteral nutrition management of gastrointestinal complication in cranioceretral injuried patients with hyperbaric oxygen therapy

Abstract

Objective To investigate effects of early enteral nutrition and nutrition component adjustment in preventing and reducing the upper gastrointestinal bleeding and flatulence during hyperbaric oxygen （HBO） therapy on patients with severe craniocerebrai injury. Methods Sixty-two cases of severe craniocerebrai injury with coma were randomly divided into observed group（ n = 31 ）and control group（ n = 31 ）. The patients in the observed group were given early enteral nutrition with appropriate nutrition preparations and self-made nutrition preparations during HBO therapy. Patients in the control group were given total parcnteral nutrition in early and enteral nutritional suspension during HBO therapy. Incidence rates of breeding and intestinal tympanites in upper gastrointestinal were observed. Results Before HBO therapy, two patients experienced upper gastrointestinal bleeding with the incidence of 6. 5% in observed group and 8 cases （25.8%） in control group（ P 〈 0. 05 ）. During HBO therapy, three patients occured intestinal tympanites with the incidence of 9.7% in observed group and 10 cases with the incidence of 33.0% in control group（P 〈 0. 05 ）. Conclusions Early enteral nutrition with appropriate nutrition preparations can inhibit upper gastrointestinal bleeding. At the same time, self-made nutrition preparations can reduce flatulence incidence during HBO therapy and relief gastrointestinal discomfort. Key words: Hyperbaric oxygen ; Craniocerebral injury ; Enteral nutrition ; Gastrointestinal bleeding; Flatulence