CAJ | 학술논문

目的：：观察重症脑卒中患者肠内营养混悬液营养干预的疗效。方法：823例重症脑卒中患者按就诊顺序分为两组。观察组423例患者采用肠内营养混悬液进行鼻饲,对照组400例患者采用家庭自制匀浆膳食进行鼻饲。两组患者均根据疾病类型选择合适的常规处理措施进行治疗。比较两组患者治疗前后的血总蛋白( TB)、血红蛋白( Hb)、血白蛋白( Alb)、三酰甘油( TG)等营养指标,以及神经功能缺损评分( NIHSS)、Barthel指数,肌力恢复状况及治疗后的并发症。结果：两组患者的TB、Hb、Alb及TG等各项营养指标均显著下降(P<0.05),但观察组各项指标明显高于对照组(P<0.05)。两组患者的NIHSS评分均明显降低(P<0.01),Barthel指数明显升高(P<0.01)；但观察组患者治疗后NIHSS评分与Barthel指数均明显优于对照组(P<0.05)。观察组肌力恢复明显高于对照组(P<0.05),两组患者并发症发生情况差异无统计学意义(P>0.05)。结论：肠内营养混悬液能够有效改善重症脑卒中患者的营养状况,并发症少,安全性高,值得临床推广应用。
목적：：관찰중증뇌졸중환자장내영양혼현액영양간예적료효。방법：823례중증뇌졸중환자안취진순서분위량조。관찰조423례환자채용장내영양혼현액진행비사,대조조400례환자채용가정자제균장선식진행비사。량조환자균근거질병류형선택합괄적상규처리조시진행치료。비교량조환자치료전후적혈총단백( TB)、혈홍단백( Hb)、혈백단백( Alb)、삼선감유( TG)등영양지표,이급신경공능결손평분( NIHSS)、Barthel지수,기력회복상황급치료후적병발증。결과：량조환자적TB、Hb、Alb급TG등각항영양지표균현저하강(P<0.05),단관찰조각항지표명현고우대조조(P<0.05)。량조환자적NIHSS평분균명현강저(P<0.01),Barthel지수명현승고(P<0.01)；단관찰조환자치료후NIHSS평분여Barthel지수균명현우우대조조(P<0.05)。관찰조기력회복명현고우대조조(P<0.05),량조환자병발증발생정황차이무통계학의의(P>0.05)。결론：장내영양혼현액능구유효개선중증뇌졸중환자적영양상황,병발증소,안전성고,치득림상추엄응용。
Objective:To observe the efficacy of enteral nutritional suspensions in the patients with severe stroke. Methods:To-tally 823 cases of severe stroke patients were divided into the observation group and the control group according to the visiting se-quence. The 423 cases in the observation group were treated with enteral nutritional suspensions, while another 400 patients in the con-trol group were given the home-made meals with nasal feeding, and relative routine treatment was given the patients according to the disease type in the two groups. Before and after the treatment, serum total protein ( TB) , hemoglobin ( HB) , serum albumin ( ALB) and TG of the two groups were recorded, neurological deficit scores ( NIHSS) , Barthel index, muscle recovery and complications were also studied and compared. Results:After the treatment, TB, HB, ALB and TG of the two groups were significantly decreased ( P<0. 05), while the nutritional indicators in the observation group were significantly higher than those in the control group (P<0. 05). After the treatment, NIHSS score of the two groups was significantly decreased (P<0. 01), Barthel index was significantly increased (P<0. 01), and those in the observation group were better than those in the control group (P<0. 05). The muscle recovery of the observation group was significantly higher than that of the control group (P<0. 05). There was no significant difference in the compli-cations between the two groups(P>0. 05). Conclusion: Enteral nutritional suspensions can improve the nutritional status of the pa-tients with severe stroke with fewer complications and better safety, which are worthy of clinical application.