早期肠内营养支持对老年急性脑梗死患者临床结局的影响

发布时间：2018-02-02 08:02

本文关键词： 肠内营养肠内营养混悬液(佳维体) 脑梗死预后　出处：《中国老年学杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的探讨早期肠内营养支持对急性老年脑梗死(ACI)患者临床结局的影响。方法将135例老年ACI患者随机分为肠内营养混悬液(佳维体)营养支持组70例和对照组65例,在常规治疗的基础上,分别给予肠内佳维体营养液及匀浆膳鼻饲。比较两组肺部感染、消化道出血、电解质失衡、低白蛋白血症并发症发生率及死亡率;并进行美国国立卫生院脑卒中量表(NIHSS)评分,检测治疗前后血生化、血常规。结果治疗后营养支持组较对照组感染、消化道出血、低白蛋白血症、电解质紊乱等并发症发生率及死亡率明显降低(P0.05),第21天两组NIHSS评分均有改善,但营养支持组较对照组改善更为明显(P0.05)。结论早期佳维体肠内营养支持比匀浆肠内营养能更好地改善老年ACI患者的营养状况,减少患者并发症的出现,改善预后。
[Abstract]:Objective to investigate the effect of early enteral nutrition support on the clinical outcome of elderly patients with acute cerebral infarction (ACI). Methods 135 elderly patients with ACI were randomly divided into enteral nutrition suspension (AVI). Nutrition support group (n = 70) and control group (n = 65). On the basis of routine treatment, the patients were treated with enteral Jiawei body nutrition solution and homogenate meal and nasal feeding respectively. The incidence and mortality of pulmonary infection, gastrointestinal bleeding, electrolyte imbalance, hypoalbuminemia complications and mortality were compared between the two groups. The National Institutes of Health (NIH) Stroke scale (NIHSS) score was used to detect blood biochemistry and blood routine before and after treatment. Results after treatment, nutritional support group was more infected than control group, gastrointestinal bleeding, hypoalbuminemia. The incidence and mortality rate of electrolyte disturbance and other complications were significantly decreased (P 0.05). The NIHSS scores of the two groups were improved on the 21st day. Conclusion early enteral nutrition support can improve the nutritional status of elderly ACI patients better than homogenate enteral nutrition. Reduce the occurrence of complications and improve prognosis.
【作者单位】：福建医科大学省立临床医学院福建省立医院神经内科;
【基金】：福建省科技基金资助项目(No.2001Z158) 福建省卫生厅人才培养基金(No.闽卫人函〔2010〕57号)
【分类号】：R743.33
【正文快照】： 老年急性脑梗死(ACI)患者常有吞咽困难、意识障碍,易发生营养不良。许多循证医学研究证据已证实营养不良与脑卒中的不良结局显著相关〔1,2〕。本文采用随机对照的临床研究方式,通过观察早期肠内营养混悬液(佳维体)肠内营养和匀浆营养在老年ACI患者中的应用,探讨不同营养素配比

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