早期肠道内营养对脑出血预后的影响

Effect of early enteral nutrition on prognosis of patients with cerebral hemorrhage

目的探讨脑出血早期肠道内营养的临床应用价值及可行性。方法抽取我院2011年1月～2012年1月收治的84例脑出血患者的临床资料进行回顾性分析，将本组患者分为两组，对照组和观察组，每组42例，一组采用常规静脉补液营养，一组采用早期肠道内营养，针对两组患者的营养效果进行评价分析。结果对照组完成静脉补液营养后，仍旧有3例并发症发生，而观察组完成肠道内营养，无一例手术并发症发生，且患者的能量和蛋白质摄入量明显高于对照组，差异有统计学意义（P〈0．05）；观察组术后肠道功能恢复时间、住院费用明显低于对照组，差异有统计学意义（P〈0．05）；另外，对照组满意度为71．4％，观察组治疗满意度为97．6％，差异有统计学意义（P〈0．05）。结论脑出血患者早期例行肠道内营养是安全有效的，能够有效改善患者的营养状况，减少患者体内蛋白质分解，促进肠道功能恢复，缩短患者住院时间。降低住院费用效果明显，值得临床推广与应用。

Objective To study the clinical application value and feasibility of early enteral nutrition on prognosis of cerebral hemorrhage. Methods The clinical data of prognosis of 84 patients with cerebral hemorrhage in our hospital during January 2011 to January 2012 were retrospectively analyzed and the patients were divided into two groups, namely the control group and the observation group, each group had 42 cases. One group was given conventional intravenous fluids nutrition, the other group was given early enteral nutrition,the nutrition effect of patients in two groups were evaluated and analyzed. Results Three cases in the control group occurred complications after intravenous fluids nutrition, while no one case in the observation group happened surgery complications after enteral nutrition, and the energy and protein intake of patients in the observation group were significantly higher than those in the control group, the differences were statistically significant（P 〈 0.05）; The postoperative intestinal functionality recovery time and hospitalization costs in the observation group were significantly lower than those in the control group, the differences were statistically significant（P 〈 0.05）; In addition, the satisfaction of the control group was 71.4%, the satisfaction of the observation group was 97.6%, the difference was statistically significant（P 〈 0.05）. Conclusion Using early enteral nutrition on prognosis of patients with cerebral hemorrhage is safe and effective, can effectively improve the nutritional status of patients, reduce protein decomposition in patients body, promote recovery of intestinal function, shorten patient＇s hospital stays, reduce hospitalization costs, and it is worthy of clinical application and dissemination.