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目的研究肠内外联合营养支持在急性重症脑卒中患者中的临床应用价值。方法选取2011年2月-2014年2月收治的急性重症脑卒中患者90例的临床资料,随机将患者平分为3组各30例,第一组采用肠内营养支持,第二组给予肠外营养支持,第三组实施肠内外营养联合支持,比较3组患者的并发症与营养状况。结果在实施营养后第1天,3组患者在Hb、ALB上对比无统计学意义(P>0.05)。实施营养支持治疗后第10天,第三组的Hb、ALB均高于前2组,对比差异有统计学意义(P<0.05)。第三组并发症率低于前2组,对比差异有统计学意义(P<0.05)。结论采用肠内外营养联合支持,有利于改善患者的营养状况,控制并发症率,改善预后,促进患者疾病的好转,提升其生活质量,值得临床推广应用。
Objective To study the clinical value of enteral, external and integrative nutritional support in patients with acute severe stroke. Methods The clinical data of 90 patients with acute severe stroke who were admitted from February 2011 to February 2014 were randomly divided into three groups (n = 30 in each group). The first group was enteral nutrition support and the second group was given parenteral Nutritional support, the third group to implement combined intestinal enteral nutrition support, comparisons of three groups of patients with complications and nutritional status. Results There was no significant difference in Hb and ALB between the three groups on the first day after nutrition (P> 0.05). The levels of Hb and ALB in the third group were significantly higher than those in the first two groups on the 10th day after the nutritional support treatment, with significant difference (P <0.05). The complication rate of the third group was lower than that of the first two groups (P <0.05). Conclusions The combined use of enteral nutrition and external nutrition can improve the nutritional status of patients, control the complication rate, improve the prognosis, promote the improvement of patients’ disease and improve their quality of life, which is worthy of clinical application.