营养支持对急性脑血管病患者预后的影响

目的 探讨营养支持对急性脑血管病患者预后的影响.方法 选择急性脑血管病住院患者98例,完全随机分为营养支持组(46例)及对照组(52例),分别测定患者入院时、入院后2周时CH、TC、血红蛋白、血清白蛋白情况,并对2组感染性并发症发生率及神经功能康复程度进行比较.结果 入院后2周对照组CH、TC、血清白蛋白、血红蛋白值明显低于营养支持组(3.2±1.2)mol/L比(4.5±1.2)mol/L;(1.4±0.3)mol/L比(1.6±0.3)mol/L;(35±6)g/L比(38±5)g/L;(108±11)g/L比(120±9)g/L,P<0.01],各营养指标与入院时相比,亦明显下降(P<0.05).营养支持组肺感染、尿路感染的发生率低于对照组10.8%(5/46)比12.2%(18/52);9.4%(4/46)比10.6%(16/52),P<0.05],神经功能康复程度好于对照组(13.6±5.5)分比(8.1±4.1)分,P<0.01].结论 营养支持治疗可改善急性脑血管病患者的营养状况,减少并发症的发生,改善其预后.

Abstract：

Objective To explore the effect of nutritional support on the prognosis of patients with acute cerebrovascular disease.Methods Ninety-eight cases of hospitalized patients with acute cerebrovascular disease were selected and divided into 46 cases of the nutritional support group and 52 cases of the control group,the condition of triglycefides,cholesterol,hemoglobin,serum albumin were contrasted when admission,2 weeks after admission and the incidence of infectious complications and the degree of neurological function recovery were compared between the two groups.Results Two weeks after admission,various nutritional indicators of the control group were significantly lower than the nutritional support group(3.2±1.2)mmol/L vs(4.5±1.2)mo]/L;(1.43±0.31)mol/L vs(1.62±0.33)mol/L;(35±6)g/L vs(38±5)g/L;(108±11)g/L vs(120±9)g/L,P<0.01].The infection rate of pulmonary and urinary tract of the nutritional support group was lower than the control group10.8%(5/46)vs 12.2%(18/52);9.4%(4/46)vs 10.6%(16/52),P<0.05];the degree of neurological function recovery was better than the control group(13.6±5.5)scores vs(8.1±4.1)scores,P<0.01].Conclusion Early nutritional support can improve the nutfiture status of patients,reduce the incidence of complications and improve the prognosis.

The effect of nutritional support on the prognosis of patients with acute cerebrovascular disease

Objective To explore the effect of nutritional support on the prognosis of patients with acute cerebrovascular disease.Methods Ninety-eight cases of hospitalized patients with acute cerebrovascular disease were selected and divided into 46 cases of the nutritional support group and 52 cases of the control group,the condition of triglycefides,cholesterol,hemoglobin,serum albumin were contrasted when admission,2 weeks after admission and the incidence of infectious complications and the degree of neurological function recovery were compared between the two groups.Results Two weeks after admission,various nutritional indicators of the control group were significantly lower than the nutritional support group(3.2±1.2)mmol/L vs(4.5±1.2)mo]/L;(1.43±0.31)mol/L vs(1.62±0.33)mol/L;(35±6)g/L vs(38±5)g/L;(108±11)g/L vs(120±9)g/L,P<0.01].The infection rate of pulmonary and urinary tract of the nutritional support group was lower than the control group10.8%(5/46)vs 12.2%(18/52);9.4%(4/46)vs 10.6%(16/52),P<0.05];the degree of neurological function recovery was better than the control group(13.6±5.5)scores vs(8.1±4.1)scores,P<0.01].Conclusion Early nutritional support can improve the nutfiture status of patients,reduce the incidence of complications and improve the prognosis.