论文部分内容阅读
目的探讨重症脑卒中患者早期肠内和肠外营养支持的效果对比。方法 78例重症脑卒中患者,随机分为肠内营养组和肠外营养组,每组39例。肠内营养组行早期肠内营养支持,肠外营养组行早期肠外营养支持,对比两组患者营养指标水平变化以及并发症发生情况。结果肠内营养组并发症发生率为5.1%,低于肠外营养组的20.5%,差异具有统计学意义(P<0.05);营养支持后,肠内营养组白蛋白(ALB)水平明显高于肠外营养组(P<0.05),而丙氨酸氨基转移酶(ALT)和血糖(GLU)均低于肠外营养组,差异具有统计学意义(P<0.05)。结论和肠外营养支持相比,重症脑卒中患者行早期肠内营养支持的临床效果更佳,可明显改善患者营养指标,且并发症较少。
Objective To investigate the effect of early enteral and parenteral nutritional support in patients with severe stroke. Methods 78 patients with severe stroke were randomly divided into enteral nutrition group and parenteral nutrition group, 39 cases in each group. The enteral nutrition group had early enteral nutrition support, and the parenteral nutrition group had early parenteral nutrition support. The changes of nutritional indexes and complication occurred in both groups. Results The incidence of complications in enteral nutrition group was 5.1%, which was lower than that in parenteral nutrition group (20.5%) (P <0.05). After nutritional support, albumin (ALB) in enteral nutrition group was significantly higher (P <0.05), while ALT and GLU in parenteral nutrition group were significantly lower than those in parenteral nutrition group (P <0.05). Conclusion Compared with parenteral nutrition support, patients with severe stroke have better clinical outcomes of early enteral nutrition support, which can significantly improve nutritional status of patients with fewer complications.