摘要
目的探讨联合应用肠外、肠内营养对重症脑卒中患者血浆蛋白及并发症的影响。方法将80例重症脑卒中患者随机分成观察组和对照组:观察组早期开始给予肠外和肠内联合营养;对照组给予鼻饲匀浆饮食。对比营养支持后两组患者的血浆蛋白指标,同期观察并发症发生情况。结果观察组血红蛋白、总蛋白、转铁蛋白、血清清蛋白及前清蛋白水平高于对照组,差异有统计学意义(P<0.05),且观察组患者高血糖、肺部感染及应激性溃疡的发生率低于对照组,差异有统计学意义(P<0.05)。结论肠外与肠内联合营养支持治疗可显著改善重症脑卒中患者的营养状况,减少并发症的发生,有利于患者康复。
Objective To investigate the effect of combined parenteral and enteral nutrition on plasma protein and complications in severe stroke patients. Methods Eighty patients were divided randomly into groups control and study. The study group started parenteral and enteral nutrition, and the control group were given nasal feeding homogenate diet. Plasma protein indicators and complication occurrence were observed in 2 groups after nutritional support. Results The levels of hemogolbin, total protein, transferring, serum albumin were significantly higher in study group than in control （ P 〈 0. 05 ）, and the incidence of hyperglycemia, pulmonary infection, stress ulcer lower （P 〈 0. 05）. Conclusion Combined parenteral and enteral nutrition, which can improve obviously the nutritional status and reduce incidence of complications, is good for patients to rehabilitate.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第20期2192-2194,共3页
Chinese General Practice
关键词
肠外营养
肠内营养
脑卒中
并发症
Parenteral nutrition
Enteral nutrition
Stroke
Complication
