早期胃肠内营养对脑出血颅内血肿微创清除术后并发上消化道出血的影响

Effect of Early Enteral Nutrition on Upper Gastrointestinal Bleeding in Patients with Minimal Invasive Therapy for Cerebral Hemorrhage

目的：探讨早期胃肠内营养对脑出血颅内血肿微创清除术患者并发上消化道出血的影响。方法：选择脑出血行颅内血肿微创清除术患者80例，随机分为两组，每组各40例。试验组40例在术后24~48 h内插管鼻饲进食，对照组40例在术后72 h以后插管鼻饲进食。比较两组患者发生上消化道出血及因上消化道出血死亡情况，两组患者住院天数。结果：试验组上消化道出血发生率及因出血死亡率明显低于对照组，比较差异有统计学意义（P〈0.05）；试验组患者住院天数少于对照组，比较差异具有统计学意义（P〈0.05）。结论：脑出血颅内血肿微创清除术患者尽早实施胃肠内营养，可预防上消化道出血的发生，降低死亡率，缩短住院天数，促进早日康复。

Objective：To study the effect of early enteral nutrition on upper gastrointestinal bleeding in patients with minimal invasive therapy for cerebral hemorrhage. Method：80 patients with minimal invasive therapy for cerebral hemorrhage were randomly divided into two groups,the experimental group 40 cases were given a gastric tube feeding within 24-48 hour after surgery,the control group 40 cases were given a gastric tube feeding after 72 hour after surgery. To compare the incidence rate of upper gastrointestinal bleeding and the rate of death because of upper gastrointestinal bleeding and the hospitalization days. Result：The incidence rate of upper gastrointestinal bleeding and the rate of death because of upper gastrointestinal bleeding in the experimental group was significantly lower than that of the control group,the difference was statistical significant（P〈0.05）. The hospitalization days was also less than the control group, the difference was statistical significant（P〈0.05）. Conclusion：Patients with minimal invasive therapy for cerebral hemorrhage should be given early enteral nutrition,it could reduce the occurrence of upper gastrointestinal bleeding, reduce the death rate and the hospitalization days,and promote a speedy recovery.