中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2015年
12期
21-23
,共3页
鼻胃管%鼻肠管%吞咽困难%营养支持
鼻胃管%鼻腸管%吞嚥睏難%營養支持
비위관%비장관%탄인곤난%영양지지
Nasogastric tube%Nasal-intestine tube%Dysphagia%Nutritional support
目的对比分析鼻胃管与鼻肠管对脑卒中伴吞咽困难患者营养支持的临床疗效。方法96例脑卒中伴吞咽困难患者根据营养支持方法不同分为对照组与观察组，对照组采用鼻胃管给予营养，观察组采用鼻肠管给予营养，观察2组治疗前后的营养指标、治疗脑卒中的治疗有效率、常见并发症等。结果2组治疗前的ALB、Hb水平进行比较无显著性差异（P＞0.05），治疗7 d、14 d后ALB、Hb水平比较均有显著性差异（P＜0.05）；对照组与观察组脑卒中的治疗有效率分别为72.9％、93.8％，观察组显著高于对照组，差异有统计学意义（P＜0.05）；对照组与观察组并发症的发病率分别为20.8％、6.25％，2组比较差异有统计学意义（P＜0.05）。结论与鼻胃管相比，鼻肠管可显著改善脑卒中吞咽困难患者的营养指标，提高脑卒中的治疗有效率，降低治疗过程中腹泻、反流等常见并发症发病率，值得临床应用。
目的對比分析鼻胃管與鼻腸管對腦卒中伴吞嚥睏難患者營養支持的臨床療效。方法96例腦卒中伴吞嚥睏難患者根據營養支持方法不同分為對照組與觀察組，對照組採用鼻胃管給予營養，觀察組採用鼻腸管給予營養，觀察2組治療前後的營養指標、治療腦卒中的治療有效率、常見併髮癥等。結果2組治療前的ALB、Hb水平進行比較無顯著性差異（P＞0.05），治療7 d、14 d後ALB、Hb水平比較均有顯著性差異（P＜0.05）；對照組與觀察組腦卒中的治療有效率分彆為72.9％、93.8％，觀察組顯著高于對照組，差異有統計學意義（P＜0.05）；對照組與觀察組併髮癥的髮病率分彆為20.8％、6.25％，2組比較差異有統計學意義（P＜0.05）。結論與鼻胃管相比，鼻腸管可顯著改善腦卒中吞嚥睏難患者的營養指標，提高腦卒中的治療有效率，降低治療過程中腹瀉、反流等常見併髮癥髮病率，值得臨床應用。
목적대비분석비위관여비장관대뇌졸중반탄인곤난환자영양지지적림상료효。방법96례뇌졸중반탄인곤난환자근거영양지지방법불동분위대조조여관찰조，대조조채용비위관급여영양，관찰조채용비장관급여영양，관찰2조치료전후적영양지표、치료뇌졸중적치료유효솔、상견병발증등。결과2조치료전적ALB、Hb수평진행비교무현저성차이（P＞0.05），치료7 d、14 d후ALB、Hb수평비교균유현저성차이（P＜0.05）；대조조여관찰조뇌졸중적치료유효솔분별위72.9％、93.8％，관찰조현저고우대조조，차이유통계학의의（P＜0.05）；대조조여관찰조병발증적발병솔분별위20.8％、6.25％，2조비교차이유통계학의의（P＜0.05）。결론여비위관상비，비장관가현저개선뇌졸중탄인곤난환자적영양지표，제고뇌졸중적치료유효솔，강저치료과정중복사、반류등상견병발증발병솔，치득림상응용。
Objective To compare and analyze the effect of nutritional support respectively offered by nasogastric tube and nasointestinal tube in stroke patients with dysphagia.Methods 96 cases with stroke and dysphagia were divided into control group and observation group according to the type of nutritional support. Patients in the control group were given nasal‐gastric nutrition ,observation group received nasal‐intestinal nutrition. We observed nutrition indicators , treatment efficiency of stroke ,and complications in the two groups before and after treatment.Results ALB and Hb levels in two groups showed no difference before treatment ,which has statistical difference after 7‐ and 14‐day treatment (P< 0.05). Treatment efficiency were 72.9% and 93.8% in control group and the observation group ,and the difference was statistically significant (P<0.05). In addition ,the incidence of complications in the control group and the observation group respective was 20.8% and 6.25%with a significant difference (P<0.05).Conclusion Compared with nasal‐gastric nutrition ,nasal‐intestinal nutrition can sig‐nificantly improve nutrition indicators and treatment efficiency ,and reduce the incidence of common complications such as diar‐rhea ,reflux ,etc. in stroke patients with dysphagia ,which is worthy of clinical application.
