| 肠内外联合营养支持对急性脑卒中患者临床价值的回顾性调查研究 |
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| 引用本文： | 魏丽,陈济生,杨倩琳,肖秀斌,游华,王燕青,张伟京,蒲川.肠内外联合营养支持对急性脑卒中患者临床价值的回顾性调查研究[J].军事医学科学院院刊,2011,35(3):223-227. |
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| 作者姓名： | 魏丽 陈济生 杨倩琳 肖秀斌 游华 王燕青 张伟京 蒲川 |
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| 作者单位： | 1. 重庆医科大学管理学院,重庆,400016
2. 解放军307医院,北京,100071 |
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| 基金项目： | 国家自然科学基金资助项目，军队医药卫生科研基金资助项目 |
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| 摘 要： | 目的探讨肠内外联合营养支持对急性脑卒中患者的临床价值。方法采用回顾性调查研究方法,分析了重庆医科大学近年来收治的急性脑卒中患者774例,其中肠内外联合营养支持（EN＋PN组）256例,肠内营养支持（EN组）287例,肠外营养支持（PN组）231例。比较三组患者的营养状况、肝功能、免疫状况、并发症、神经功能恢复情况及对临床疗效的影响。结果 第21天时,EN＋PN组各项营养指标,IgA、IgG含量,CD4细胞和CD4/CD8比值,感染并发症发生率,NIHSS评分,总有效率等指标明显优于EN组和PN组,且EN组明显优于PN组。结论肠内外联合营养支持对急性脑卒中患者的临床价值高于肠内营养和肠外营养,且肠内营养的临床价值高于肠外营养。
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| 关 键 词： | 肠内营养 胃肠外营养 卒中 预后 |
Clinical value of combined enteral and parenteral nutritional support in patients with acute stroke:a retrospective study |
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| WEI Li,CHEN Ji-sheng,YANG Qian-lin,XIAO Xiu-bin,YOU Hua,WANG Yan-qing,ZHANG Wei-jing,PU Chuan.Clinical value of combined enteral and parenteral nutritional support in patients with acute stroke:a retrospective study[J].Bulletin of the Academy of Military Medical Sciences,2011,35(3):223-227. |
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| Authors: | WEI Li CHEN Ji-sheng YANG Qian-lin XIAO Xiu-bin YOU Hua WANG Yan-qing ZHANG Wei-jing PU Chuan |
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| Institution: | WEI Li1,CHEN Ji-sheng2,YANG Qian-lin2,XIAO Xiu-bin2,YOU Hua2,WANG Yan-qing2,ZHANG Wei-jing2,PU Chuan1(1.Management School,Chongqing Medical University,Chongqing 400016,China,2.Hospital No 307 of PLA,Academy of Military Medical Sciences,Beijing 100071,China) |
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| Abstract: | Objective To explore the clinical value of combined enteral and parenteral nutritional support in patients with acute stroke.Methods We reviewed 774 cases of acute stroke who were recently enrolled in Chongqing Medical University during this retrospective study.These cases included 256 patients with combined enteral and parenteral nutritional support(EN+ PN group),287 patients with enteral nutritional support(EN group),and 231 patients with parenteral nutritional support(PN group).The nutritional status,hep... |
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| Keywords: | enteral nutrition parenteral nutrition stroke prognosis |
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