CAJ | 학술논문

目的：探讨老年脑血管疾病患者的肠内营养支持疗法。方法选取2013年1月至2014年6月通过鼻饲行肠内营养患者80例,按随机数字表法分为2组。研究组40例,采用自制匀浆膳食配合能全力进行肠内营养；对照组40例,采用单纯能全力进行肠内营养。结果研究组与对照组在鼻饲5 d内出现腹泻例数依次为3例、27例,研究组明显低于对照组( P<0．05)；研究组与对照组在鼻饲4周内出现腹胀例数依次为4例、11例,用餐支出费用依次为(2382．68±277．69)元、(5393．45±244．66)元,研究组明显低于对照组(P<0．05)；研究组与对照组在治疗4周后血红蛋白均值依次为(141．6±14．79) g/L、(135．33±9．47) g/L,体质指数均值依次为(25．50±2．98)kg/m2、(23．92±1．52)kg/m2,上臂围均值依次为(33．60±1．10)cm、(33．00±0．56)cm,三头肌皮褶厚度均值依次为(26．60±0．08)mm、(26．29±0．09)mm,研究组明显低于对照组,两组比较差异有统计学意义(P<0．05)。结论自制匀浆膳食配合能全力对老年脑血管疾病患者进行肠内营养并发症少、费用低,可保持良好的营养状态,利于长期使用。
목적：탐토노년뇌혈관질병환자적장내영양지지요법。방법선취2013년1월지2014년6월통과비사행장내영양환자80례,안수궤수자표법분위2조。연구조40례,채용자제균장선식배합능전력진행장내영양；대조조40례,채용단순능전력진행장내영양。결과연구조여대조조재비사5 d내출현복사례수의차위3례、27례,연구조명현저우대조조( P<0．05)；연구조여대조조재비사4주내출현복창례수의차위4례、11례,용찬지출비용의차위(2382．68±277．69)원、(5393．45±244．66)원,연구조명현저우대조조(P<0．05)；연구조여대조조재치료4주후혈홍단백균치의차위(141．6±14．79) g/L、(135．33±9．47) g/L,체질지수균치의차위(25．50±2．98)kg/m2、(23．92±1．52)kg/m2,상비위균치의차위(33．60±1．10)cm、(33．00±0．56)cm,삼두기피습후도균치의차위(26．60±0．08)mm、(26．29±0．09)mm,연구조명현저우대조조,량조비교차이유통계학의의(P<0．05)。결론자제균장선식배합능전력대노년뇌혈관질병환자진행장내영양병발증소、비용저,가보지량호적영양상태,리우장기사용。
Objective To observe the effect of enteral nutrition therapy on aged patients with cerebrovascular disease. Methods 80 aged patients with cerebrovascular disease were randomly divided into 2 groups:patients in study group(n=40)were given paste-formulated with nutrison diet,patients in control group(n=40)received nutrison only. Results Compared with control group,the number of diarrhea cases in study group was lower during the 5 d of naso-gastric diet(3 vs. 27,P<0. 05),and the number of bloating was lower during the 4 weeks of nasogastric diet(4 vs. 11, P<0. 05). After 4 weeks of treatment,There were significant differences between the study group and control group in hemoglobin[(141. 6 ± 14. 79) g/L vs. (135. 33 ± 9. 47) g/L,P<0. 05],BMI [(25. 50 ± 2. 98) kg/m2 vs. (23. 92 ± 1. 52) kg/m2,P<0. 05],upper arm circumference[(33. 60 ± 1. 10) cm vs. (33. 00 ± 0. 56) cm,P <0. 05],triceps skinfold thickness[(26. 60 ± 0. 08) mm vs. (26. 29 ± 0. 09) mm,P <0. 05)] and meal expenses[(2 382. 68 ± 277. 69) Yuan vs. (5 393. 45 ± 244. 66) Yuan,P<0. 05]. Conclusion Paste-formulated with nutrison diet for aged patients with cerebrovascular disease has fewer complications,lower costs,and it can help aged patients maintain good nutritional status.