早期肠内营养对大面积脑梗死患者预后的影响  

Effect of early enteral nutrition on prognosis of patients with large area cerebral infarction

作　　者：华银玲[1] HUA Yinling(Nanyang Hospital Affiliated to Zhengzhou University/Nanyang Central Hospital,Nanyang 473009,China)

机构地区：[1]郑州大学附属南阳医院南阳市中心医院

出　　处：《中国实用神经疾病杂志》2019年第20期2264-2269,共6页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨早期肠内营养对大面积脑梗死患者预后的影响。方法选择2015-06-2016-06南阳市中心医院收治的大面积脑梗死患者86例,随机分为对照组(43例)和观察组(43例),对照组患者给予传统鼻饲营养支持,观察组患者给予早期肠内营养支持,对比2组患者营养状况、胃肠功能情况、日常活动功能状况、神经功能状况以及并发症发生情况。结果治疗后,2组患者营养学各指标均有所改善,且观察组明显优于对照组(P<0.05);观察组胃肠功能紊乱发生情况明显少于对照组(P<0.05);治疗后,2组患者BI评分和NIHSS评分均有所改善,且观察组明显优于对照组(P<0.05);相对于对照组,观察组并发症发生情况明显减少(P<0.05)。结论早期肠内营养应用于大面积脑梗死患者治疗中,可有效纠正患者代谢紊乱状况,使机体免疫力得到有效提升,并促进患者神经功能恢复,明显减少并发症,对于改善患者预后具有积极意义。Objective To investigate the effect of early enteral nutrition on the prognosis of patients with large area cerebral infarction.Methods Eighty-six patients with large-area cerebral infarction admitted to our hospital from June 2015 to June 2016 were randomly divided into two groups,the control group(43 patients) and the observation group(43 patients).Traditional nasal feeding nutritional support was given.The patients in the observation group were given early enteral nutrition support.The nutritional status,gastrointestinal function,daily activity status,neurological status and complications were compared between the two groups.Results After treatment,the nutritional indicators of the two groups were improved,and the observation group was significantly better than the control group(P<0.05).The incidence of gastrointestinal dysfunction in the observation group was significantly lower than that of the control group(P<0.05).After treatment,both the patients’ scores and NIHSS scores were improved,and the observation group was significantly better than the control group(P<0.05).Compared with the control group,the complications of the observation group were significantly reduced(P<0.05).Conclusion Early enteral nutrition can be used to treat patients with large-area cerebral infarction,which can effectively correct the metabolic disorder of patients,improve the immunity of patients,promote the recovery of neurological function,and significantly reduce the incidence of complications.The prognosis has positive significance.

关 键 词：大面积脑梗死 早期肠内营养 鼻饲营养 营养支持 预后 

分 类 号：R743.33[医药卫生—神经病学与精神病学]