摘要
目的探讨早期肠内营养对老年重症脑卒中患者急性期并发应激性溃疡出血的预防作用。方法将68例年龄≥75岁的重症脑卒中患者随机分为早期肠内营养组(EEN组)和延迟肠内营养组(DEN组)各34例。EEN组在急性卒中发病24h内给予肠内营养,DEN组在发病72h内根据病情给予肠外营养(PN),观察72h无消化道出血可启动肠内营养,观察并比较2组应激性溃疡出血(SUB)的发生率。结果 EEN组应激性溃疡出血的发生率低于DEN组(P<0.05)。结论对老年重症脑卒中患者给予早期肠内营养可降低应激性溃疡出血的发生率,改善预后,效果优于延迟肠内营养。
Objective To investigate the preventive effects of early enteral nutrition on severe elderly stroke patient with stress ulcer bleeding. Methods Totally 68 severe stroke patients aged ≥75 were randomly divided into early enteral nutrition group （EEN group） and delayed enteral nutrition group （DEN group）, 34 cases in each group. EEN group was treated with enteral nutrition within 24 hours of onset. DEN group was treated with parenteral nutrition （PN） in 72 hours and enteral nutrition after 72 hours if they didn＇t have gastrointestinal bleeding. The incidence of stress ulcer bleeding （SUB） of two groups was observed. Results The incidence of stress ulcer bleeding in EEN group was lower than that in DEN group （P〈0. 05）. Conclusion Early en- teral nutrition can reduce the incidence of stress ulcer bleeding, improve the prognosis of the disease, and have a better clinical effect than the delayed enteral nutrition.
出处
《中国实用神经疾病杂志》
2017年第16期50-52,共3页
Chinese Journal of Practical Nervous Diseases
