摘要
目的：探讨鼻空肠置管和普通鼻胃管置管肠内营养（EN）对重症脑卒中急性期病人感染发生与控制、卒中预后的影响。方法：60例格拉斯哥昏迷量表（GCS）评分为4～7分的重症脑卒中病人，试验组给予内镜直视下鼻空肠置管，对照组放置普通鼻胃管，并进行EN支持，对比观察两组病人肺部感染的发生和控制、美国国立卫生研究院脑卒中量表（NIHSS）评分及营养状况等指标的差异。结果：试验组病人在气管插管率、肺部感染发生率、抗生素使用频度明显低于对照组，入住ICU时间短于对照组，14d NIHSS评分低于对照组，但腹泻发生率高于对照组。结论：早期内镜下鼻空肠置管EN能减少重症脑卒中病人肺部感染的发生，减少抗生素的使用和缩短病人人住ICU的时间，腹泻是常见的不良反应。
Objective ： To compare the prognosis of early naso-jejunum tube feeding and nasogastric tube feeding in severely acute cerebral stroke. Methods： Sixty cases were divided into naso-jejunum tube feeding group （30 cases） and nasogastric tube feeding group （30 cases） randomly. All patients were treated by same conventional therapy. The levels of hemoglobin, serum albumin, total protein, neurologic impairment score （NIHSS） were assessed, and incidence of pulmonary infection and complications of gastrointestinal tract of two groups were compared. Results ： The incidence of pulmonary infection in naso-jejunum tube feeding group was obviously lower than that in control group （ P 〈 0.01 ）. Conclusion ： Early naso-jejunum tube feeding in severe acute cerebral stroke can decrease the incidence of pulmonary infection and improve prognosis.
出处
《肠外与肠内营养》
CAS
北大核心
2013年第6期353-355,共3页
Parenteral & Enteral Nutrition
关键词
鼻空肠置管
重症脑卒中
肺部感染
Naso-jejunum tube feeding
Severely acute cerebral stroke
Pulmonary infection
