早期肠内营养支持对重症脑出血患者术后并发症的影响  

Impacts of early enteral nutrition support on postoperative complications in patients with severe cerebral hemorrhage

作　　者：蓝鹏[1] 刘广飞[1] 张赛赛 LAN Peng;LIU Guangfei;ZHANG Saisai(Department of Neurosurgery,the Pizhou Hospital of Traditional Chinese Medicine in Jiangsu Province,Jiangsu,Pizhou 221300,China)

机构地区：[1]江苏省邳州市中医院神经外科,江苏邳州221300

出　　处：《中国医药科学》2021年第12期162-165,共4页China Medicine And Pharmacy

摘　　要：目的探讨早期肠内营养支持在重症脑出血术后患者治疗中的临床效果。方法选取2017年3月至2020年3月江苏省邳州市中医院收治的60例重症脑出血术后患者作为研究对象,随机分为观察组和对照组,各30例。观察组患者行早期肠内营养支持治疗,对照组患者给予肠外营养支持治疗,比较两组患者治疗前和治疗两周后的营养指标与消化道并发症情况、治疗疗效。结果治疗前,两组患者的血糖、肌酐、血清白蛋白、血红蛋白等指标比较,差异无统计学意义(P>0.05);治疗后,观察组各项营养指标均显著优于治疗前(P<0.05),对照组肌酐指标和治疗前相比无显著改善(P>0.05),但血糖、血清白蛋白和血红蛋白指标显著优于治疗前(P<0.05);治疗两周后,观察组治疗有效率显著高于对照组、并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论重症脑出血术后患者行早期肠内营养支持治疗,有助于改善患者营养指标,并减少并发症的发生率,提升治疗有效率,具有突出的辅助治疗效果,值得临床推广和应用。Objective To investigate the clinical efficacy of early enteral nutrition support on postoperative complications in patients with severe cerebral hemorrhage.Methods A total of 60 patients with severe cerebral hemorrhage admitted to and treated in Pizhou Hospital of Traditional Chinese Medicine in Jiangsu Province from March 2017 to March 2020 were selected as the research objects.They were randomly divided into the observation group(n=30)and the control group(n=30).Patients in the observation group were treated with early enteral nutrition support therapy,while those in the control group were treated with parenteral nutrition support therapy.Before and after 2 weeks of treatment,the nutritional indices,gastrointestinal complications and therapeutic efficacies in the two groups of patients were compared.Results Before treatment,there were no statistically significant differences in blood glucose,creatinine,serum albumin and hemoglobin between the two groups of patients(P>0.05).After treatment,all nutritional indices in the observation group were all significantly superior to those before treatment(P<0.05).While creatinine indices in the control group were not significantly improved compared with those before treatment(P>0.05).However,blood glucose,serum albumin and hemoglobin indices were significantly superior to those before treatment(P<0.05).After 2 weeks of treatment,the effective rate of treatment in the observation group was significantly higher than that in the control group,and the incidence of complications was significantly lower than that in the control group,with statistically significant differences(P<0.05).Conclusion Early enteral nutrition support therapy for patients with severe cerebral hemorrhage after operation is conducive to improving the nutritional indices of patients,reducing the incidence of complications,increasing the effective rate of treatment.Therefore,it has prominent adjuvant therapeutic efficacy,which is worthy of clinical prom otion and application.

关 键 词：早期肠内营养支持 肠外营养支持 重症脑出血患者 术后并发症 

分 类 号：R459.3[医药卫生—治疗学] R651[医药卫生—临床医学]