摘要
目的:观察早期肠内营养(EEN)对脑卒中病人疗效的影响。方法:将122例脑卒中病人分为EEN和完全肠外营养(TPN)组,每组61例。两组病人于入院后24 h开始实施营养支持。由营养师计算热量,即按照Harris-Benedict公式确定基础能量消耗(BEE),再根据BEE×活动系数×应激系数×体温系数来确定总热量,按照每个病人理论所需的热量选择合适的营养制剂,连续支持治疗7 d。观察两组病人的营养监测指标、胃肠道等主要并发症情况和两组日均营养支持费用,并对结果进行统计。结果:营养支持7 d后,除清蛋白(ALB)指标和胃肠道等主要并发症外,EEN组病人前清蛋白(PA)、淋巴细胞总数(TLC)均显著高于TPN组,两组营养支持后ALB、PA、TLC显著高于营养支持前,EEN组营养支持日均费用显著低于TPN组,经统计学分析有显著性差异(P<0.05)。结论:对于脑卒中病人早期给予EN,能促进病人营养状况的恢复,达到良好的治疗效果。
Objective: To observe the early enteral nutrition on the efficacy of stroke patients.Methods: 122 stroke patients in our hospital were divided into enteral nutrition(EN) group(61 cases).Nutrition indicators were observed,gastrointestinal and other major complications,and nutritional support costs were analyzed.Results: The prealbumin(PA) and blood total lymphocyte count(TLC) were significantly higher and the average daily cost of nutritional support was significantly lower in EN group.Conclusion: For patients with stroke,EN can promote the recovery of the nutritional status and the cost is cheap.
出处
《肠外与肠内营养》
CAS
北大核心
2011年第6期335-337,共3页
Parenteral & Enteral Nutrition
关键词
早期肠内营养
脑卒中
临床观察
Early enteral nutrition
Stroke
Clinical observation