摘要
目的:研究治疗急性脑梗死(acute cerebral infarction,ACI)合并吞咽困难患者时应用早期肠内营养支持(early enteral nutrition,EEN)的临床价值.方法:选取2014-05/2015-09河北省开滦总医院在收治的112例ACI患者作为临床应用价值观察对象,分为EEN组,对照组,每组56例,在治疗对照组中的56例患者时仅应用了肠外营养支持疗法.结果:治疗1 mo后EEN组ACI患者的营养指标改善情况优于对照组,两组对比差异显著;EEN组有效率为91.07%,对照组为71.43%,EEN组ACI患者的总有效率明显高于对照组.两组患者在治疗前饮水试验评级不存在统计学差异(P>0.05);待治疗后第2周末,EEN组饮水试验评级为2.77级±0.58级,对照组为3.18级±0.54级,两组之间差异具有统计学意义(P<0.05);待治疗后第4周末,EEN组饮水试验评级为2.25级±0.34级,对照组为2.54级±0.48级,两组之间差异具有统计学意义(P<0.05).结论:在治疗ACI患者时应用EEN疗法可以有效改善患者营养状况和吞咽状况,提升治疗效果,值得推广.
AIM： To evaluate the clinical value of early enteral nutrition （EEN） in the treatment of patients with acute cerebral infarction （ACI） complicated with dysphagia. METHODS： One hundred and twelve patients with ACI treated at our hospital from May 2014 to September 2015 were divided into an EEN group and a control group, with 56 cases in each group. The control group was given parenteral nutrition support. RESULTS： After 1 mo of treatment, the improvement of ACI in the EEN group was significantly superior to that of the control group. The total effective rate was significantly higher in the ACI group than in the control group （91.07% vs 71.43%, P 〈 0.05）. There was no significant difference between the two groups before treatment （2 wk） in the score of the water swallow test （2.77 ± 0.58 vs 3.18 ±0.54, P 〉 0.05）, but the ACI group was significantly better than the control group after treatment （4 wk） （2.25 ± 0.34 vs 2.54 ±0.48, P 〈 0.05）. CONCLUSION： EEN therapy can effectively improve the nutritional status and dysphagia in the treatment of ACI patients.
出处
《世界华人消化杂志》
CAS
2016年第4期618-622,共5页
World Chinese Journal of Digestology
关键词
脑梗死
营养支持
肠内
价值
Cerebral infarction
Nutritional support
Enteral
Value
