摘要
目的探讨不同肠内营养方法对重症脑卒中患者预后的影响。方法将98例急性重症脑卒中患者按随机数字表法分为营养支持组50例和对照组48例，在常规治疗的基础上，营养支持组给予肠内营养乳剂TP-HE或TPF-D，对照组给予普通流质饮食鼻饲。人院第1、10、21天分别检测两组患者血红蛋白（Hh）、血清白蛋白（Am）、美国国立卫生研究院卒中量表（NIHSS）评分，统计并发症发生率。结果入院第21天，营养1支持组和对照组Hb分别为（122．5±2．4）、（106．4±2．8）g／L，Alb分别为（36．5±4．7）、（34．2±5．1）g／L，NIHSS评分分别为（8．45±3．02）、（10．24±2．57）分。差异均有统计学意义（P〈0．05）。结论早期肠内营养支持可明显改善重症脑卒中患者的营养状况，降低并发症的发生率，改善预后。
Objective To investigate the effect of enteral nutrition support on prognosis in patients with severe acute stroke. Methods Ninety-eight eases of severe acute stroke were divided into nutrition supported group（ 50 cases） and control group（48 eases ） randomly. All patients were treated by conventional therapy. Nutrition supported group received high energy nutrition diet and control group received common liquid diet by nasal feeding. The levels of hemoglobin, serum albumin, neurologie impairment score （NIHSS） and the incidence rates of complications were assessed at the 1st, 10 th and 21st day after admission. Results Hemoglobin was （ 122.5 ± 2.4）, （ 106.4 ± 2.8） g/L and serum albumin was （36.5 ± 4.7）, （34.2 ± 5.1 ） g/L at the 21st day after admission in nutrition supported group and control group,and there was significant difference between two groups （P 〈 0.05）. The complication rate in control group was higher than that in nutrition supported group（P 〈 0.05 ）. NIHSS score was （8.45 ± 3.02） scores in nutrition supported group and （10.24 ± 2.57）scores in control group at the 21st day after admission, and there was significant difference between two groups （P 〈 0.05）. Conclusion Early enteral nutrition support can significantly improve nutritional status and decrease the incidence rates of complications in patients with severe acute stroke, and it is helpful for clinical prognosis.
出处
《中国医师进修杂志》
2010年第10期30-32,共3页
Chinese Journal of Postgraduates of Medicine
关键词
肠道营养
脑血管意外
预后
并发症
Enteralnutrition
Cerebrovascularaccident
Prognosis
Complications
