脑血管疾病合并2型糖尿病的肠内营养支持

The enteral nutrition support for in the patients with cerebrovascular disease accompanied with type 2diabetes

目的:观察脑血管疾病合并2型糖尿病病人使用不同的肠内营养(EN)配方后对血糖(Glu)、血清清蛋白(ALB)、淋巴细胞总数(LYM)、血清钾(K+)、钠(Na+)、氯(Cl-)、三酰甘油(TG)、胆固醇(TC)等的影响。方法:对40例脑血管疾病合并2型糖尿病病人分别用普通配方、糖尿病配方进行相同热量的EN支持,并监测Glu、ALB、LYM、K+、Na+、Cl-、TG、TC。结果:鼻饲普通配方病人的血糖明显上升,需加用胰岛素或口服降糖药。而鼻饲糖尿病配方病人的血糖无明显升高,无需加用或减少胰岛素用量(P<0.05)。结论:脑血管疾病合并2型糖尿病病人选用合适的EN配方,能较好地控制血糖,提高疗效。

Objective： The influence on the blood glucose, ALB, LYM, K^＋ , Na^＋ , Clˉ , TG, TC and so on after the use of different nutrition formula was observed in patients with cerebrovascular disease and type 2 diabetes. Methods： 40 patients who suffered from cerebrovascular diseases and type 2 diabetes were divided in- to two groups： one group using the ordinary formula and the others using special-purpose formula of diabetes. The levels of blood glucose, ALB, LYM, K^＋, Na^＋, Clˉ TG, TC were morfitored. Results： The patient＇s blood glucose after use of ordinary formula rised obviously and insulin or the oral drug for decreasing blood glucose was used. The blood glucose in special-purpose diabetes formula group didn＇t increase obviously, and there was not the need of using insulin （P 〈 0.05）. Concluslon： The cerbrovascular disease patients who suffered from type 2 diabetes may benefit from the enteral nutrition of diabetes-special formula.