CAJ | 학술논문

目的：探讨卒中单元患者应用全程营养管理模式对早期康复效果的影响。方法选择四川省绵阳市中心医院2012年1月~2014年1月收治的符合纳入标准的脑卒中患者168例,将其分为观察组(90例)和对照组(78例)。对照组实施常规护理,观察组在此基础上实施全程营养管理模式进行干预,记录并比较两组在干预前,干预后2、4周末血清白蛋白(ALB)、血清前白蛋白(PA)、体重指数(BMI)；干预前、干预后4周末的Glagow昏迷量表(GCS)评分、美国国立卫生研究院卒中量表(NIHSS)评分和日常生活活动能力(ADL)评分。使用SPSS 17.0软件进行统计分析。结果干预4周后,观察组ALB、PA、BMI值分别是(37.41±2.41)g/L、(191.60±26.31)ng/L、(22.59±3.19)kg/m2,各项值均明显优于对照组,差异均有统计学意义(均P<0.01)；GCS、NIHSS、ADL评分分别为(12.48±1.37)、(10.54±2.19)、(46.89±10.69)分,两组比较,差异有统计学意义(P<0.05或P<0.01)。结论全程营养管理模式规范了卒中患者的营养支持,可较好改善脑卒中患者的营养状况,促进卒中患者的康复。
목적：탐토졸중단원환자응용전정영양관리모식대조기강복효과적영향。방법선택사천성면양시중심의원2012년1월~2014년1월수치적부합납입표준적뇌졸중환자168례,장기분위관찰조(90례)화대조조(78례)。대조조실시상규호리,관찰조재차기출상실시전정영양관리모식진행간예,기록병비교량조재간예전,간예후2、4주말혈청백단백(ALB)、혈청전백단백(PA)、체중지수(BMI)；간예전、간예후4주말적Glagow혼미량표(GCS)평분、미국국립위생연구원졸중량표(NIHSS)평분화일상생활활동능력(ADL)평분。사용SPSS 17.0연건진행통계분석。결과간예4주후,관찰조ALB、PA、BMI치분별시(37.41±2.41)g/L、(191.60±26.31)ng/L、(22.59±3.19)kg/m2,각항치균명현우우대조조,차이균유통계학의의(균P<0.01)；GCS、NIHSS、ADL평분분별위(12.48±1.37)、(10.54±2.19)、(46.89±10.69)분,량조비교,차이유통계학의의(P<0.05혹P<0.01)。결론전정영양관리모식규범료졸중환자적영양지지,가교호개선뇌졸중환자적영양상황,촉진졸중환자적강복。
Objective To investigate the early-stage rehabilitation effects of patients in stroke unit who have been ap-plied the full nutritional management mode. Methods 168 patients with stoke in Mianyang Central Hospital who were standard compliant from January 2012 to January 2014 were classified as observation group (90 cases) and control group (78 cases). In the control group, conventional nutritional management were carried out. In the observation group, not only the conventional nutritional management but the full nutritional management were carried out, comparisons be-tween the two groups were made to analyze the differences in the ALB, PA and the BMI before treatment, post-treat-ment at the second weekend and at the fourth weekend, the GCS, NIHSS and ADL before treatment, at the fourth weekend. The statistic analysis was made by SPSS 17.0. Results At the fourth weekend, the ALB, PA, BMI of the ob-servation group were (37.41±2.41) g/L, (191.60±26.31) ng/L, (22.59±3.19) kg/m2, the numerical values was better than the control group obviously with statistically significant difference (all P<0.01);the GCS, NIHSS, ADL were (12.48±1.37), (10.54±2.19), (46.89±10.69) scores, there were all significant differences between the two groups (P<0.05 or P<0.01). Conclusion The full nutritional management makes a standard of the stoke unit’s nutritional supportment, im-prove the patients’nutritional status, and promote their rehabilitation.