论文部分内容阅读
目的:探究早期序贯性肠内营养支持护理干预在急性脑卒中伴吞咽困难的临床应用价值。方法:对照组入院早期禁食,常规治疗7d后行常规鼻饲肠内营养支持护理;观察组入院72 h内开展早期序贯性肠内营养支持护理,观察两组临床护理效果。结果:两组经不同肠内营养干预4周后,观察组临床总有效率为97.7%,明显高于对照组的79.1%,差异有统计学意义(P<0.05);观察组血清总蛋白、血清白蛋白、血红蛋白、总淋巴细胞计数测指标明显优于对照组,差异有统计学意义(P<0.05);且观察组总感染发生率为20.9%,明显低于对照组的44.2%,组间比较差异具有统计学意义(P<0.05)。结论:对急性脑卒中伴吞咽困难患者开展早期序贯行肠内营养支持护理,有助于改善患者机体营养状况,减少感染并发症的发生。
Objective: To investigate the clinical value of early sequential enteral nutrition support nursing intervention in acute stroke with dysphagia. Methods: The control group were fasted in the early stage of hospitalization, and received routine nasogastric enteral nutrition support after 7 days of routine treatment. The patients in the observation group were enrolled in the early sequential enteral nutrition support nursing within 72 hours of admission, and the clinical nursing effects were observed. Results: After 4 weeks of different enteral nutrition interventions, the total effective rate in the observation group was 97.7%, which was significantly higher than that in the control group (79.1%, P <0.05). The serum total protein, The indexes of serum albumin, hemoglobin and total lymphocyte count were significantly better than the control group (P <0.05), and the incidence of total infection in the observation group was 20.9%, which was significantly lower than that of the control group (44.2%). The difference was statistically significant (P <0.05). Conclusion: Early sequence sequential enteral nutrition support for patients with acute stroke and dysphagia helps to improve the nutritional status of patients and reduce the incidence of infection complications.