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Objective To explore the value of Nacotrend and the degree and prognosis of disturbance of consciousness in craniocerebral injured patients. Methods Forty craniocerebral injured patients were observed and Nacotrend index (NI) and Glasgow Coma Scale (GCS) were evaluated 24 h after the operation. After followed up for 3 months, the patients with Glasgow coma scale (GOS) 4-5 scores were enrolled into in good recovery group and the patients with GOS 1-3 scores were enrolled into bad recovery group. The correlation of NI and prognosis was analyzed. Results There were 17 cases in the good recovery group, and 23 cases in the bad recovery group. Pearson correlation coefficient of NI and GCS was 0.721, P<0.01. The level of NI in good recovery group was 64.26±12.73, in bad recovery group was 29.57±8.12, and there was significant difference (P<0.05). Conclusion NI can be used in coma patients for consciousness grading assessment and also can correctly evaluate the prognosis.
RESUMO
Objective:To explore the clinical function and the effects of enteral nutrition on prognosis in 20 severe craniocerebral injured patients. Methods:20 patients were tube fed 48 hours after admission.Blood sugar,hemoglobin,serum albumin,lymphocyte counts,complication and prognosis were observed.20 patients without tube feeding were as control.Results:The nutrition state,complication and prognosis were better in tube feeding patients than those in patients without tube feeding. Conclusion:Early enteral nutrition is beneficial in severe craniocerebral injured patients.