【摘 要】 目的 探讨不同营养方式对重型颅脑损伤(GCS4～8分)的能量、蛋白质代谢、血电解质、胃肠功能及预后的影响和效果。 方法 36例病人随机平均分两组:早期肠内营养(EN)组和早期肠外营养(PN)组，伤后48h行营养治疗并回访3个月，进行比较研究。 结果 EN组在改善胃肠功能及预后优于PN组，且能较好维持电解质平衡，促进氮平衡。 结论 EN是重型颅脑损伤较好营养方法。

    【关键词】 重型颅脑损伤;早期;营养方式;胃肠功能;预后

    The stomach and intestine's function and prognosis of serious craniocerebral injury affected by the early different nourishment methods ZHANG Yi-bo，LI Wei，WANG Dong-qi，et al.(Ganyu People's Hospital，Jiangsu222100，China)

    【Abstract】 Objective To investigate effects of the early different nourishment method on a craniocerebral injury in terms of energy，protein metabolism，stomach and intestine's function.Methods 36patients were divided randomly into two groups:the early intra-intestinal nourishment group and the early parenteral nutrition group.They accepted the nourishment treatment48hours after getting hurt and was visited for3months afterwards.Results EN group is better than PN group in maintaining the electrolyte enzyme equilibrium ......