不同方式的肠内营养对脑卒中患者临床疗效分析  

Analysis of the clinical effect of different enteral nutrition on stroke patients

作　　者：雷淑玲 LEI Shu-ling(Geriatrics Department,Guangzhou Panyu District Central Hospital,Guangzhou 518000,China)

机构地区：[1]广州市番禺区中心医院老年科,广东广州518000

出　　处：《吉林医学》2021年第10期2351-2353,共3页Jilin Medical Journal

摘　　要：目的:探讨脑卒中患者采用不同方式肠内营养的临床效果。方法:选择2019年1月~2019年12月番禺区中心医院神经科、重症监护室收治的脑卒中患者110例为研究对象,根据数字随机法将其分为观察组和对照组各55例,给予对照组患者持续泵入营养,而观察组患者则行间断泵入营养,对两组患者的各项指标进行比较分析。结果:干预1 d时,两组患者的营养指标比较,差异无统计学意义(P>0.05);干预7 d、14 d时,观察组患者的转铁蛋白、前白蛋白以及血红蛋白水平均高于对照组患者,差异均有统计学意义(P<0.05)。干预1 d时,两组患者水电解质各项指标对比,差异无统计学意义(P>0.05);干预后7 d、14 d时,与对照组相比,观察组患者CRP水平下降,且血钠和血钾水平较低,差异有统计学意义(P<0.05)。同时两组的并发症发生率对比,差异有统计学意义(P<0.05)。结论:通过给予脑卒中患者间断泵入营养,不仅可以改善营养状态,还能纠正血钾紊乱,降低并发症发生率,从而改善患者预后。Objective To investigate the clinical effect of different enteral nutrition in stroke patients.Method A total of 110 stroke patients admitted to the neurology department and intensive care unit of our hospital from January to December 2019 were selected as study subjects.According to the numerical randomization method,they were divided into two groups.55 cases in each group.The control group was given continuous pumping of nutrition,while the observation group was given intermittent pumping of nutrition.The indexes of the two groups were compared and analyzed.Results After 1d intervention,there was no difference in nutritional indicators between the two groups(P>0.05).At 7 and 14 days of intervention,the levels of transferrin,prealbumin and hemoglobin in the observation group were all higher than those in the control group(P<0.05).After 1 d intervention,there was no difference between the two groups in various indicators(P>0.05).At 7 and 14 days after intervention,compared with the control group,the CRP level in the observation group was decreased,and the serum sodium and potassium levels were lower,with differences between groups(P<0.05).Meanwhile,the incidence of complications in the two groups was statistically significant(P<0.05).Conclusion Intermittent pumping of nutrients in stroke patients not only improves nutritional status,but also corrects potassium disorders,reduces the incidence of complications,and improves prognosis.

关 键 词：脑卒中 肠内营养 间断泵入 持续泵入 

分 类 号：R743.3[医药卫生—神经病学与精神病学]