92例脑卒中患者肠外营养和肠内营养治疗效果观察

目的探讨脑卒中患者早期接受肠内营养和肠外营养对并发症及营养指标的影响。方法选取92例重症脑卒中伴吞咽障碍患者按随机表法分为两组,分别给予肠内营养(观察组)和肠外营养(对照组)支持治疗,并观察两组患者治疗前后血清总蛋白(TP)、白蛋白(Alb)、血红蛋白(Hb)水平,治疗前、后神经功能缺损(NIHSS)评分和临床肺部感染评分(CPIS)情况。结果治疗后,观察组的血清总蛋白、白蛋白、血红蛋白明显增高,神经功能缺损评分和临床肺部感染发生率明显降低,与对照组比较,差异均有统计学意义(均P0.05)。结论早期肠内营养支持可改善重症脑卒中患者机体营养指标,降低并发症发生率。

A comparison of application effect between enteral nutrition and parenteral nutrition in 92 severe stroke patients

Objective To compare the effectiveness of enteral nutrition(EN) and parenteral nutrition(PN) for the early support of patients with severe stroke.Methods To tally 92 patients with severe stroke accompanied with dysphagia were randomly divided into EN group(n=46) and PN group(n=46).The serum total protein(TP),albumin(Alb),hemoglobin(Hb) count,neurological deficit (NIHSS)and clinical lung infection (CPIS)scorewere compared between the two groups.Results The nutritional parameters were significantly superior in EN group than in PN group.Compared with PE,the serum total protein,albumin,hemoglobin countsignificantly increased and neurological deficit,clinical lung infection score significantly decreased in EN group(P<0.05).Conclusion Early EN support in patients with severe stroke can improve the body′s nutritional indicators,reduce the incidence of complications.