高血压脑梗塞长期卧床患者胃肠功能紊乱临床治疗分析

Analysis of the Clinical Treatment in the Cerebral Infarction Patients with Hypertension and Longterm in bed with Gastrointestinal Dysfunction

目的研究对高血压脑梗塞长期卧床患者胃肠功能紊乱应用鼻饲乳果糖的临床疗效。方法将80例高血压脑梗塞长期卧床胃肠功能紊乱患者，随机分成治疗组和对照每组40例。对照组患者给予50mL温开水鼻饲；治疗组患者则给予乳果糖液15mL鼻饲，2次／d，疗程均为2w。比较2组患者2w内消化道出血、腹痛、呕吐、腹胀症状的发生率及持续时间。结果2组患者消化道出血和腹痛、呕吐、腹胀症状发生率比较．治疗组明显低于对照组，差异有统计学意义（P〈0．05）。结论对高血压脑梗塞长期卧床胃肠功能紊乱患者应用乳果糖治疗，临床疗效满意。

Objective To evaluate the effect of nasal feeding lactnlase in the cerebral infarction patients with hypertension and long-term in bed with gastrointestinal dysfunction. Methods eighty cases of the cerebral infarction patients with hypertension and long-term in bed with gastrointestinal dysfunction were randomly divided into 2 groups , each was 40cases.The control group with nasal feeding 50 ml warm boiled water, and the treatment grot/p with nasal feeding 15 ml lactulose,twice a day. The course of the treatment was 2 weeks. The incidence rate and duration of the gastrointestinal symptoms such as bloodiug,abodominal pain,vomiting were used for evaluation in the two groups. Results The incidence rate of the gastrointestinal symptoms declined evidently in the treament group compared with the control group. The diffirence of the two groups had statistical significance （P〈 0.05）, Conclusion It is assumed that nasal feeding lactulose could achieve approving curative effect .