低热量高蛋白肠内营养对急性脑梗死病人营养指标及并发症的影响  

Effect of low calorie and high protein enteral nutrition on nutritional indexes and complications in patients with acute cerebral infarction

作　　者：夏焱[1] 吴圣楠 刁英飞 李艳玲[1] XIA Yan;WU Sheng-nan;DIAO Ying-fei;LI Yan-ling(Department of Nutrition, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300457, China)

机构地区：[1]天津中医药大学第一附属医院

出　　处：《肠外与肠内营养》2019年第3期161-165,共5页Parenteral & Enteral Nutrition

摘　　要：目的:探讨低热量高蛋白肠内营养对急性脑梗死病人营养指标及并发症发生的影响。方法:选择2018年 3月 1日至 2018年 9月 31日收治的符合入组标准的 146例急性脑梗死病人为研究对象。随机分为标准热量组和低热量组,两组供给的肠内营养热量不同,蛋白质摄入均为 1.2~1.5g/(kg·d)。标准热量组在入院 3日内达到全量,低热量组在一周内给予低热量高蛋白营养治疗,第二周给到全量,对比两组病人营养指标、并发症发生率、住院天数及费用情况。结果:营养支持第 14天时,低热量组病人的总蛋白、白蛋白水平显著高于标准热量组;血糖值显著低于标准热量组。低热量组病人腹泻及胃潴留的发生率显著低于标准热量组;住院天数及住院费用显著低于标准热量组,均具有统计学差异(P < 0.05)。结论:短期应用低热量高蛋白肠内营养不仅能提高急性脑梗死病人的营养状况,而且能减少并发症的发生,缩短住院天数,减少住院费用,在临床应用上具有重要意义。Objective: To investigate the effects of low-calorie and high-protein enteral nutrition on nutritional indicators and complications in patients with acute cerebral infarction. Methods: A total of 146 qualified patients with acute cerebral infarction from March 1st 2018 to September 31th 2018 were randomly divided into standard calorie group and low calorie group. The two groups were supplied with different calories, and the protein intake was 1.2~1.5g/(kg.d). The standard calorie group reached the full amount within 3 days after admission. The low-calorie group received lowcalorie and high-protein nutrition therapy in the first week and whole amount in the second week. The nutritional indicators, complication rate, hospitalization days and expenses between groups were compared. Results: On the 14th day of nutritional support, the total protein and albumin levels in low-calorie group were significantly higher while the blood glucose level was significantly lower than those in standard calorie group. The incidence of diarrhea and gastric retention in low-calorie group was significantly lower than that in the standard calorie group;the hospitalization days and expenses were significantly lower than those in standard calorie group (P<0.05). Conclusion: Short-term application of low-calorie and high-protein enteral nutrition can improve nutritional status, reduce incidence of complications and cost as well as shorten length of hospital stay in patients with acute cerebral infarction.

关 键 词：低热量 肠内营养 急性脑梗死 

分 类 号：R743.32[医药卫生—神经病学与精神病学]