CAJ | 학술논문

目的：探讨脑卒中患者吞咽障碍评估和不同方式营养支持护理对患者的影响。方法对212例急性脑卒中患者进行吞咽障碍评估，将符合吞咽障碍标准的87患者随机分成观察组和对照组，观察组44例进行肠内与肠外贯序营养支持，对照组43例给予完全肠外营养支持，比较2组患者治疗后的影响指标与并发症发生情况。结果营养支持3周后，观察组血清总蛋白（67.8±2.1）g/L、血清白蛋白（37.6±1.8）g/L、血红蛋白（129.8±13.8）g/L ，计数均高于对照组（ P＜0.05）；观察组并发症发生率（27.27％）和病死率（2.27％）均明显低于对照组的48.48％、13.95％（ P＜0.05）。结论肠内与肠外贯序营养支持对脑卒中伴有吞咽障碍的患者护理效果显著，能够明显改善患者的营养状况，降低并发症的发生率，有利于患者疾病的康复。
목적：탐토뇌졸중환자탄인장애평고화불동방식영양지지호리대환자적영향。방법대212례급성뇌졸중환자진행탄인장애평고，장부합탄인장애표준적87환자수궤분성관찰조화대조조，관찰조44례진행장내여장외관서영양지지，대조조43례급여완전장외영양지지，비교2조환자치료후적영향지표여병발증발생정황。결과영양지지3주후，관찰조혈청총단백（67.8±2.1）g/L、혈청백단백（37.6±1.8）g/L、혈홍단백（129.8±13.8）g/L ，계수균고우대조조（ P＜0.05）；관찰조병발증발생솔（27.27％）화병사솔（2.27％）균명현저우대조조적48.48％、13.95％（ P＜0.05）。결론장내여장외관서영양지지대뇌졸중반유탄인장애적환자호리효과현저，능구명현개선환자적영양상황，강저병발증적발생솔，유리우환자질병적강복。
Objective To investigate the effect of dysphagia assessment and nutritional support different ways of care for stroke patients.Methods Totally 212 cases of acute stroke patients with dysphagia assessment criteria complicated with dys-phagia ,87 patients were randomly divided into observation group and control group ,44 cases of the observation group were given sequential enteral and parenteral nutrition support ,and 43 patients in the control group were given total parenteral nutri-tional support ,the occurrence of impact indicators with complications in the two groups were compared.Results After 3 weeks of nutritional support in observation group ,serum total protein (67.8 ± 2.1) g/L ,serum albumin (37.6 ± 1.8) g/L ,hemoglo-bin (129.8 ± 13.8) g/L were higher than those of control group (P< 0.05);complication rate (27.27% ) and mortality (2.27% ) in observation group were significantly lower than those in control group (48.48% ,13.95% , P<0.05).Conclusion The care effect of sequential enteral and parenteral nutrition support for stroke patients with dysphagia is significant ,and can significantly improve the patient's nutritional status and reduce the incidence of complications ,which is conducive to the rehabilitation of patients with the disease.