目的观察脑卒中患者对不同营养制剂肠内营养的耐受性差异。方法选取2015年1~12月神经外科收治并实施低渗型匀浆膳肠内营养(EN)支持的29例脑卒中患者为低渗型组,选取同期神经外科收治并实施纤维型匀浆膳EN支持的27例脑卒中患者为纤维型组,对2组患者的临床资料进行回顾性分析,依据肠道耐受性评分,比较2组患者对不同营养制剂的耐受性。结果低渗型组不耐受例数少于纤维型组,肠道耐受性评分为(2.24±0.83)分优于纤维型组的(5.48±1.13)分,2组比较差异均有统计学意义(P<0.01)。结论脑卒中患者早期肠内营养支持易出现胃肠道不耐受表现,但患者对低渗型肠内营养制剂耐受性较好。 Objective To observe the tolerance of enteral nutrition in different nutritional preparations in patients with stroke. Methods Twenty-nine patients with stroke admitted to Department of Neurosurgery from January to December 2015 underwent hypotonic homogenate enteral nutrition (EN) support were treated as hypotonic type. Patients in the same period were enrolled in the study and were treated with fibrous homogenate The 27 stroke patients supported by EN were fibrosis group. The clinical data of two groups were retrospectively analyzed. According to the intestinal tolerance score, the tolerance of different groups of patients to nutritional agents was compared. Results In the hypotonic group, the number of intolerance was less than that in the fibrotic group, and the score of intestinal tolerance was (2.24 ± 0.83) in the low-permeability group (5.48 ± 1.13). The differences between the two groups were statistically significant Significance (P <0.01). Conclusions Early enteral nutrition support in stroke patients is prone to gastrointestinal intolerance, but patients are better tolerant to hypotonic enteral nutrition.