早期序贯性肠内营养支持护理在急性脑卒中伴吞咽困难的临床应用价值分析.docVIP

早期序贯性肠内营养支持护理在急性脑卒中伴吞咽困难的临床应用价值分析 段鸿侠 王 辉 阮红兵 王雪莲 曹丹丹 深圳市南山区西丽人民医院深圳518055 冃的探究早期序贯性肠内营养支持护理干预在急性脑卒屮伴吞咽困 难的临床应用价值。方法对照组入院早期禁食，常规治疗7d后行常规鼻饲肠 内营养支持护理；观察组入院72h内开展早期序贯性肠内营养支持护理，观察两 组临床护理效果。结果两组经不同肠内营养干预4周后，观察组临床总有效率 为97.7%,明显高于对照组的79.1%, P0.05；观察组血清总蛋白、血清白蛋白、 血红蛋白、总淋巴细胞计数测指标明显优于对照组，P0.05；且观察组总感染 发生率为20.9%,明显低于对照组的44.2%,组间比较差异具有统计学意义，P 0.05。结论对急性脑卒屮伴吞咽困难患者开展早期序贯行肠内营养支持护理, 有助于改善患者机体营养状况，减少感染并发症的发生。 关键词早期序贯性肠内营养支持；急性脑卒中；吞咽困难 [Abstract]Objective To explore the early sequential enteral nutrition support nursing intervention for patients with dysphagia in acute stroke clinical application value.Methods the control group conventional treatment early fasting，7d received routine nasogastric enteral nutrition support nursing； the observation group within 72h after admission to carry out early sequential enteral nutrition support nursing， observes two groups of clinical nursing effect.Results after 4 weeks, two groups by d iff ere nt en teral n utrition in terve ntion， the observati on group, the clin ical total effective rate was 97.7%, significantly higher than that in the control group 79.1%, P lt; 0.05； observation of serum total protein, serum albumin, hemoglobin, total lymphocyte count measure index was significantly better than the control group, P lt; 0.05； in the observation group the total infection the incidenee rate of 20.9%, significantly lower than the 44.2% in the control group, statistically significant differences between groups, P lt; 0.05.Conclusion the acute stroke patients with dysphagia in early sequential enteral nutrition support nursing, help to improve the nutritional status of patients, reduce the incidenee of infectious complications. [Keywords]early sequential enteral nutritional support； acute stroke； dysphagia； enteral nutrition 吞咽困难是急性脑卒中临床常见并发症之一，发生率约为22%~65%之间， 若未及时处理，常引起误吸、误咽，诱发吸入性肺炎或窒息，乂常因吞咽困难影 响患者正常进食，诱发卒中后营养不良，降低机体免疫力，增加并发感染加重病 情的风险。大量临床研究证实，机体营养状况可直接影响卒中的转归，因而对急 性脑卒中伴吞咽困难患者及早开展肠内营养支持护理对改善临床预后有重要的 临床价值[1]。随着临床对肠内营养护理的深入研究和对胃肠道生理功能的不断 认识，发现早期序