肠内营养乳剂在急性脑卒中患者的应用价值及护理对策

Application value of enteral nutrition emulsion in patients with acute stroke and nursing care strategy

目的通过对急性脑卒中伴吞咽障碍的患者实施肠内营养乳剂,探讨肠内营养液改善卒中病人的营养及免疫力的问题。方法将200例鼻饲患者随机分为观察组和对照组各100例。两组患者均给予常规鼻饲饮食,观察组在此基础上给予肠内营养乳剂胃管泵入。采用测量上臂肌围、血清清蛋白、血红蛋白的办法评价患者的营养,通过院感发生率来评价患者的免疫状况。结果住院21d后实验组血清白蛋白、血红蛋白要高于对照组(P<0.01);上臂肌围没有明显差异(P>0.05)。实验组感染发生率为12.O%,远低于对照组34.0%(P<0.01)。结论采用肠内营养乳剂鼻饲,系统护理能改善脑卒中伴吞咽障碍的患者的营养及免疫力,促进患者的有效康复。

Objective To explore whether enteral nutrition emulsion could improve the nourishment and immunity in patients who suffered from acute stroke with swallow disorder. Methods Two hundred patients with acute stroke were randomly divided into study group and control group. There were 100 patients in each group. Both group were treated with regular nasal feeding. The patients in the study group were feeded with entcral nutrition emulsion on the basis of regular feeding. The arm muscle circumference, serum albumin hemoglobin were used for evaluating nourishment. The rate of hospital infection was used for evaluating the immunity. Results At the end of 21 days, the serum albumin and hemoglobin in the study group were higher than those in the control group （P 〈 0. 01 ） ; but there were no difference in the arm muscle circumference between two groups （ P 〉 0.05）. The rate of hospital infection in the study group was much lower than that in the control group ,12% vs 34% respectively （P 〈0. 01 ）. Conclusion Enteral nutrition emulsion could improve the nourishment and immunity of patients with acute stroke, hence it promote the health of patients.