CAJ | 학술논문

目的：对重症监护室中高龄脑出血患者实施肠内营养支持治疗的临床疗效进行探讨。方法：选取我院2012年12月至2013年12月收治的脑出血患者64例进行研究，将患者随机分为观察组32例，给予肠内营养支持治疗，对照组32例，给予肠外营养治疗。在治疗前后，对患者的各项生化指标进行检测对比，对疗效进行判断。结果：观察组血清白蛋白明显升高，血糖及ALT明显降低，两组对比差异显著，P＜0.05。从治疗有效性来看，观察组32例患者中，26例治疗有效，有效率为81.25%；对照组32例患者中，16例治疗有效，有效率为50.0%，两组比较差异显著，P＜0.05，具有统计学意义。结论：采用肠内营养支持疗法能够降低营养底物不足，调节细胞代谢，降低了器官功能障碍的发生。因此，在治疗高龄脑出血患者中是一种值得推广的治疗方法。
목적：대중증감호실중고령뇌출혈환자실시장내영양지지치료적림상료효진행탐토。방법：선취아원2012년12월지2013년12월수치적뇌출혈환자64례진행연구，장환자수궤분위관찰조32례，급여장내영양지지치료，대조조32례，급여장외영양치료。재치료전후，대환자적각항생화지표진행검측대비，대료효진행판단。결과：관찰조혈청백단백명현승고，혈당급ALT명현강저，량조대비차이현저，P＜0.05。종치료유효성래간，관찰조32례환자중，26례치료유효，유효솔위81.25%；대조조32례환자중，16례치료유효，유효솔위50.0%，량조비교차이현저，P＜0.05，구유통계학의의。결론：채용장내영양지지요법능구강저영양저물불족，조절세포대사，강저료기관공능장애적발생。인차，재치료고령뇌출혈환자중시일충치득추엄적치료방법。
Objective: the ICU elderly cerebral hemorrhage patients with enteral nutrition support treatment clinical curative effect of. Methods: the study was performed in 64 patients in our hospital from 2012 December to 2013 December were cerebral hemorrhage, the patients were randomly divided into observation group of 32 cases, enteral nutrition support therapy, 32 cases in the control group, treated with parenteral nutrition treatment. compared the biochemical indexes were detected in patients. Results: in the observation group, serum albumin increased, blood glucose and ALT were significantly lower, differences between two groups was significant, P < 0.05. From the effectiveness of treatment, the observation group 32 cases, effective in 26 patients, the effective rate was 81.25%; the control group of 32 patients, 16 cases effective, efficiency is 50%, the difference between the two groups was significant, P < 0.05, with statistical significance. Conclusion: regulation of cellmetabolism, reducing the occurrence of organ dysfunction. Therefore, in the treatment of elderly patients with cerebral hemorrhage is a recommendable therapy.