混合肠内营养支持对老年脑卒中患者的疗效观察

目的探讨混合肠内营养（EN）支持对老年脑卒中患者营养状况的影响。方法将69例老年脑卒中患者随机分为观察组35例和对照组34例。观察组采用传统推注普通匀浆膳＋持续输注能全力肠内营养混悬液,对照组采用传统推注普通匀浆膳。观察两组患者营养支持前后各项营养指标的变化并比较疗效。结果观察组营养支持后第7、14d总蛋白（TP）、白蛋白（ALB）、前白蛋白（PA）、血红蛋白（HGb）水平均明显高于对照组,差异有统计学意义（P〈0.05）。结论采取传统推注匀浆膳加持续输注肠内营养混悬液的混合肠内营养支持方式,能增加老年脑卒中患者摄入量,提高血清蛋白水平,改善机体的营养状况。

Curative observation of different enteral nutrition support in elderly stroke patients

Objective To investigate the Curative observation of different enteral nutrition support in elderly stroke patients. Methods 69 cases with elderly stroke patients were randomly divided into observation group（n=35） and control group（n=34）. Cases in observation group were treated enteral nutrition support with Nutrison Fibre and homogenate die, while cases in control group were treated with homogenate diet. Indicators of nutrition status were detected in two groups both before and after nutrition support, changes of all nutrition indicators of the two groups have been detected. Results Levels of TP, ALB, PA and HGb were significantly higher after receiving nutrition on the 74 and 14th day in olaservation group than those in control group（P〈0.05）. Conclusion Enteral nutrition support with Nutrison Fibre and homogenate diet can take in more protein and caloric, can improve nutritional status of elderly stroke patients.