重症脑梗死患者早期肠内营养治疗临床疗效分析.pdfVIP

《中外医学研究》第 13 卷 第 12 期（总第 272 期）2015 年 4月　　 临床与实践 Linchuangyushijian 重症脑梗死患者早期肠内营养治疗临床疗效分析 ① ① ① ① 　　黄金忠 　蒋颖 　盛世英 　杨志龙 【摘要】　目的： 方法： 　　 观察早期持续肠内营养支持对重症脑梗死的临床疗效，探讨其对营养状况的影响。 选择 102 例重症脑梗死患者， 随机分为对照组和试验组，每组 51 例，在常规治疗的基础上，对照组患者早期给予肠外营养支持；试验组患者早期给予肠内营养辅以肠 外营养支持，疗程 15 d，将两组患者治疗 15 d 后的营养状态及治疗效果进行对比。结果：治疗前两组患者营养指标比较差异无统计学意义 (P0.05)，经过 15 d 的治疗后，试验组营养指标显著高于对照组，差异有统计学意义 (P0.05)。试验组肺部感染并发症发生率较对照组低， 入住 ICU 时间及 NIHSS 评分优于对照组 (P0.05)。结论：早期持续肠内营养支持可更好地促进重症脑梗死患者神经功能的恢复，改善患者 的营养状况，影响疾病预后，减少并发症，其机制可能与改善营养状态促进免疫功能的恢复有密切关系。 【关键词】　 　　 早期肠内营养；　重症脑梗死；　肠外营养 　　中图分类号　R743.3 文献标识码　B 文章编号　1674-6805(2015)12-0017-03 　　The Clinical Effect Analysis of Early Enteral Nutrition Support for Patients with Severe Cerebral Infarction/HUANG Jin-zhong，JIANG Ying，SHENG Shi-ying，et al.//Chinese and Foreign Medical Research，2015，13(12)：17-19 　　【Abstract】　Objective：To observe the efficacy of early enteral nutrition support in severe cerebral infarction patients and its effect on nutritional status.Method：102 cases with severe cerebral infarction were randomly divided into the experimental group and the control group，51 cases in each group.They both were given fundamental treatment.The experimental group was given extra enteral nutrition supportive，the control group was given parenteral nutrition.The nutritional status and treatment effect in two groups were compared.Result：Before treatment，there were no marked differences between the two groups in ALB，HB，PA(P0.05).After 15 days of treatment，the above indicators of the experimental group were all higher than those of the control group，with statistical significance(P0.05)，the incidence of the lung infect