维吾尔族患者急性脑卒中早期肠内营养时机选择  

Clinical Study on the Timing of Early Enteral Nutrition in Uygur Patients with Acute Stroke

作　　者：杜怀文[1] 李文革[2] 马军庄[2] 

机构地区：[1]新疆生产建设兵团农一师医院神经内科,新疆阿克苏843000 [2]新疆生产建设兵团农一师医院特需科,新疆阿克苏843000

出　　处：《中国现代医生》2011年第34期120-121,共2页China Modern Doctor

摘　　要：目的探讨维吾尔族患者急性脑卒中患者合并吞咽困难早期给予营养支持的最佳时机选择及对预后的影响。方法将130例维吾尔族与汉族明确诊断为急性脑卒中(无外科手术指标)合并吞咽困难的患者按民族分成维吾尔族组与汉族组,维吾尔族1组(实验组)急性脑卒中5天后给予肠内营养,维吾尔族2组(对照1组)急性脑卒中7天后给予肠内营养,汉族组(对照2组)急性脑卒中7天后给予鼻饲肠内营养,治疗3周对三组患者并发症及实验室指标进行对比研究。结果三组患者均有死亡、呼吸道感染等并发症,但无统计学意义(P>0.05)。实验室指标:血红蛋白、血清白蛋白、血清总胆固醇等均无明显改变,差异无统计学意义(P>0.05)。结论维吾尔族急性脑卒中伴吞咽困难患者5天后早期给予肠内营养支持与7天后无统计学意义。维吾尔族与汉族的民族差异无统计学意义。维吾尔族患者在急性脑卒中5天后给予肠内营养疗效肯定。Objective To study the timing and the effect on prognosis of early enteral nutrition in Uygur patients with dysphagia after acute stroke. Methods All 130 Uygur and Han patients with dysphagia after acute stroke（no Surgical indications）were divided into 3 groups： Uygnr group 1 （experimental group）：enteral nutrition was provided 5 days after acute stroke, Uygnr group 2 （control group 1 ） and Han group （control group 2）：enteral nutrition was provided 7 days after acute stroke. Complications and laboratory parameters of patients were studied three weeks after treatments. Results Numbers of deaths and respiratory infections were found in all three groups, but having no statistical significance （P〉0.05）. There was not a statistical significance of the difference of hemoglobin,serum albumin and serum levels of total cholesterol （P〉0.05）. There was not a statistical significance between Uygur group 1 and Uygur group 2. There was not a statistical significance between Uygur and Han groups. Conclusion The therapeutic effect of enteral nutrition provided 5 days after acute stroke in Uygur patients is positive.

关 键 词：民族 急性脑卒中 肠内营养 

分 类 号：R743.3[医药卫生—神经病学与精神病学]