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| 急性重症脑卒中患者早期肠内营养支持治疗的体会 | |
| 引用本文： | 宋士萍,李莉莉,吕莹. 急性重症脑卒中患者早期肠内营养支持治疗的体会[J]. 内科急危重症杂志, 2010, 16(2): 70-72,80 |
| 作者姓名： | 宋士萍 李莉莉 吕莹 |
| 作者单位： | 北京市垂杨柳医院,北京,100022 |
| 摘 要： | 目的:探讨早期规范肠内营养(EN)对急性重症脑卒中预后的影响。方法:将106例患者分为营养支持组(56例)和对照组(50例),在常规治疗的基础上,分别给予鼻饲整蛋白肠内营养素制剂及普通鼻饲奶。入院第1、14和21天分别检测两组的血红蛋白、血清白蛋白、前白蛋白、甘油三酯,统计两组第1、21天NIHSS评分、第7、21天时的感染及EN胃肠道并发症的发生率。结果:第14、21天两组各项营养指标均有下降,对照组下降更为明显(P<0.05);肠内营养组第7、21天感染发生率显著低于对照组(P<0.05),但第7天EN胃肠道并发症的发生率高(P<0.05)。两组NIHSS评分均有明显改善,肠内营养组改善更为显著(P<0.05)。结论:早期EN可明显改善重症脑卒中患者的营养状况,降低感染发生率,改善预后。 |
| 关 键 词： | 脑卒中 肠内营养 腹胀 腹泻 |
Experience of Early Enteral Nutrition Support in Patients With Severe Acute Cerebral Stroke |
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| SONG Shiping,LI Lili,LV Ying. Experience of Early Enteral Nutrition Support in Patients With Severe Acute Cerebral Stroke[J]. Journal of Internal Intensive Medicine, 2010, 16(2): 70-72,80 | |
| Authors: | SONG Shiping LI Lili LV Ying |
| Abstract: | Objective:To investigate the effect of early standard enteral nutrition(EN)support on prognosis of patients with severe acute cerebral stroke.Methods:One hundred and six cases were divided into nutrition supported group(56 cases)and control group(50 cases)randomly.All patients were treated by conventional therapy.Patients in nutrition supported group received entire protein-based enteral nutrition preparations and control group received common feeding-mixed milk by nasogastric feeding.The levels of hemoglob... |
| Keywords: | Cerebral stroke Enteral nutrition Abdominal distension Diarrhea |
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