低热量肠内营养护理对重症高血压脑出血术后患者的临床价值  

Clinical study of low calorie enteral nutrition nursing on postoperative patients with severe hypertensive intracerebral hemorrhage

作　　者：李俊华 Li Junhua(The Traditional Chinese Medicine Hospital of Zhumadian ,Zhumadian 463000 ,Chin)

机构地区：[1]驻马店市中医院,河南驻马店463000

出　　处：《中国实用神经疾病杂志》2017年第13期112-113,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的研究低热量肠内营养护理对重症高血压脑出血术后患者肠黏膜屏障功能和营养状况的影响。方法回顾性分析我院收治的90例重症高血压脑出血病人,随机分为观察组45例(采用常规治疗),对照组45例(常规治疗的同时采用低热量肠内营养和护理)。对比护理后2组患者的肠黏膜屏障功能(D-LAC、DAO水平)、营养状况(TP、ALB、Hb、TFN水平)和并发症发生情况。结果观察组D-LAC、DAO水平均明显低于对照组(P<0.05),营养状况(TP、ALB、Hb、TFN水平)改善情况均明显优于对照组(P<0.05),并发症发生率明显低于对照组(P<0.05)。结论低热量肠内营养护理可减轻肠黏膜屏障功能损伤,利于肠黏膜屏障的修复,提高患者的营养指标,降低并发症发生率。Objective To investigate the effect of low-calorie enteral nutrition on intestinal mucosal barrier function and nutritional status in postoperative patients with severe hypertensive intracerebral hemorrhage.Methods Retrospective analysis of 90 patients with severe hypertensive intracerebral hemorrhage admitted to our hospital,the observation group of 45 cases（using conventional treatment）,the control group of 45 cases（conventional treatment of low-calorie enteral nutrition and care）.（D-LAC,DAO）,nutritional status（TP,ALB,Hb,TFN levels）and complication were compared between the two groups.Results The levels of D-LAC and DAO in the observation group were significantly lower than those in the control group（P〈0.05）;the nutritional status of the observation group（TP,ALB,Hb,TFN）was significantly better than the control group The incidence of complications was significantly lower than that of the control group（P〈0.05）.Conclusion Low-calorie enteral nutrition care can reduce the intestinal mucosal barrier function damage,which will help the intestinal mucosal barrier repair,improve the nutritional indicators of patients and reduce the incidence of complications.

关 键 词：重症高血压脑出血 低热量肠内营养 营养状况 

分 类 号：R473.74[医药卫生—护理学]