NUTRITIONAL AND ENTERIC INEFFICIENCY AT COMPLICATED TRAUMA OF CERVICAL REGION OF VERTEBRAL COLUMN
Yelena Yurevna IVANOVA, Svetlana Ivanovna KIRILINA, Sergey Aleksandrovich PERVUKHIN, Aleksandr Aleksandrovich ELISTRATOV, Ivan Anatolevich STATSENKO, Aleksey Viktorovich PALMASH
Novosibirsk Research Institute for Traumatology and Orthopedics n.a. Ya.L. Tsyvyan of Minzdrav of Russia
Keywords: осложненная травма шейного отдела позвоночника, кишечная и нутритивная недостаточность, основной обмен, раннее энтеральное питание
Abstract
The aim of research was the analysis of nutritional and enteric inefficiency at complicated trauma of cervical region of vertebral column. Material and Methods. The retrospective observational investigation has been carried out. Medical records of 29 patients with complicated trauma of cervical region of vertebral column for 2017-2016 years have been analyzed. Results. Disorder of motor-evacuation function of digestive tract was revealed in 37 % of cases on the first day after accident. Maximal intensity of enteroparesis and minimal level of total protein were registered on 7-10 days. The albumin level has been progressively decreased till 15 days. The erosion of gastric and duodenum mucosa was revealed by esophagogastroduodenoscopy in 50 % of patients on the first day. The basal metabolism value detected by indirect calorimetry was 30-50 % higher than value calculated by formula.
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