早期肠内营养支持对急性脑卒中患者康复的影响  

作　　者：张新颜[1] 张建平[1] 

机构地区：[1]河南省商丘市第一人民医院,河南商丘476100

出　　处：《中国医药导报》2006年第33期34-35,共2页China Medical Herald

摘　　要：目的评价早期肠内营养(EN)支持对急性脑卒中患者营养状况的变化及神经功能康复的影响。方法选择急性脑卒中并发吞咽障碍患者84例,随机分为早期EN支持的治疗组(44例)和对照组(40例)。观察两组不同时间点的营养状况、免疫指标及有关临床指标等。结果治疗组早期EN支持后的各项营养学指标、IgA、IgG含量及淋巴细胞计数均显著高于对照组。治疗组应激性溃疡发生率(11.36%)低于对照组(22.50%),感染性并发症发生率(27.27%)低于对照组(52.50%),感染持续时间少于对照组,神经功能缺损程度评分较对照组显著降低。结论早期EN支持可改善脑卒中患者的营养状况,恢复机体的免疫功能,减少并发症的发生,为患者的康复创造有利条件。Objective To evaluate the effects of early enteral nutritional (EN) supplement on nutritional condition alteration and neurological function rehabilitation of acute stroke patients.Methods 84 patients who had dysphagia after an acute stroke were chosed.They were randomized into the treatment group (44 cases) who used early EN supplement and the contrast group (40 cases) who did not use.The nutritional condition,immune parameters and clinical indexs of two groups were observed at different time.Results The paraments of nutrition ,levels of IgA?IgG and quantity of lymphocyte were significantly higher in the treatment group than those in the contrast group.The frequency of stress ulcer and infective complication (11.36%) and (27.27%) in the treatment group was lower than (22.50%) and (52.50%) in the contrast group.The treatment group experienced shorter infective time.The mark of neurological function deficit decreased more notebly in the treatment group compared with the contrast group.Conclusion Early EN supplement can improve nutritional condition of stroke patients,enhance body immunity capacity,lessen the occurrence of complication and create advantage for the patients rehabilitation.

关 键 词：脑卒中 康复 肠内营养 免疫 感染 

分 类 号：R[医药卫生]