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目的研究高血压脑出血患者术后经鼻肠营养管早期肠内营养(EN)支持的护理,为今后营养支持方式的选择提供参考。方法将40例重症高血压脑出血术后患者随机分成观察组(20例)和对照组(20例),观察组在手术后24~48 h内开始实施肠内营养,对照组按传统方法 3~5 d后开始实施肠内营养。比较两组实施肠内营养后的血清白蛋白水平,住院时间及并发症情况。结果营养支持后,观察组血清白蛋白水平高于对照组,住院时间、住院费用及并发症均低于对照组(P<0.05)。结论高血压脑出血术后患者早期给予肠内营养,能够改善患者营养状况,降低术后并发症发生率,改善预后。
Objective To study the nursing of early enteral nutrition (EN) support in patients with hypertensive intracerebral hemorrhage via nasogastric feeding tube and to provide reference for the future choice of nutritional support. Methods Forty patients with severe hypertensive intracerebral hemorrhage were randomly divided into observation group (n = 20) and control group (n = 20). The observation group started enteral nutrition within 24-48 h after operation. The control group was treated by traditional method 3 ~ 5 d after the start of enteral nutrition. The levels of serum albumin, length of hospital stay and complications after enteral nutrition were compared between the two groups. Results After nutritional support, serum albumin level in the observation group was higher than that in the control group. The length of hospital stay, hospitalization expenses and complications were all lower than those in the control group (P <0.05). Conclusion Hypertensive intracerebral hemorrhage postoperative patients with early enteral nutrition, can improve the patient’s nutritional status, reduce the incidence of postoperative complications and improve prognosis.