摘要
目的探讨早期肠内营养支持对大面积脑梗死患者胃肠道功能的影响。方法选择我院2007年3月至2009年4月诊断为重症脑梗死患者80例,随机分为2组,分别采用早期肠内营养支持(治疗组)以及传统的鼻饲营养供给干预(对照组),2周后分别测定其胃肠功能相关指标。结果2组患者发生呕吐、腹胀、腹泻、便秘等情况的患者比例,对照组明显高于治疗组,二者的差异具有统计学意义(P<0.05);另外,两组间各项并发症的发生率比较分析表明,治疗组并发症的发生率较低,与对照组相比,其发生率的差异具有统计学意义(P<0.05)。结论通过早期肠内营养支持和补充,对大面积脑梗死患者胃肠功能改善、减少并发症以及患者的预后,具有重要的意义。
Objective To explore gastrointestinal function change of the early enteral nutrition support in patients with massive cerebral infarction. Methods Eighty patients （from March 2007 to April 2009） diagnosed severe cerebral infarction were randomly divided into two groups： early enteral nutrition support （treatment group） and the traditional supply of tube feeding nutrition intervention （control group）. Gastrointestinal function were determined by relevant indicators after 2 weeks. Results The incidence rate of vomiting, abdominal distension, diarrhea and constipation in the treatment group was significantly higher than that in the control group（P〈 0. 05）. In addition, the incidence of the complication in the treatment group was lower, compared with control group, the diHerence was significant （P〈0.05） . Conclusion Early enteral nutritional support and gastro intestinal function improvement can be of important significance in reducing complications and improving prognosis in patients with large area of cerebral infarction.
关键词
脑梗塞
肠内营养支持
并发症
Brain infarction
Enteral nutrition support
Complications
