重症卒中病人早期肠内营养喂养不达标状况及其影响因素分析

Analysis of non-compliance condition of early enteral nutrition feeding of severe stroke patients and its influencing factors

[目的]调查重症卒中病人早期肠内营养达标率的影响因素。[方法]选取2013年1月—2014年6月的重症脑卒中病人182例,分为达标组与不达标组,通过Logistic分析,探讨早期肠内营养不达标的主要影响因素。[结果]182例病人中有123例(67.6%)早期喂养不达标,两组病人格拉斯哥昏迷评分(GCS)、腹泻、呕吐或反流、胃残余量>100mL、机械通气的差异有统计学意义(P<0.05)。Logistic回归分析结果显示,病人出现腹泻、呕吐或反流、胃残余量>100mL、行机械通气对早期肠内营养不达标有影响。[结论]腹泻、呕吐或反流、胃残余量>100mL、机械通气可能为卒中病人早期肠内营养不达标的影响因素。

Objective：To investigate the influencing factors of compliance rate of early enteral nutrition feeding of severe stroke patients .Methods：A total of 182 cases of severe stroke patients were selected from 2013 January to 2014 June ,and they were divided into compliance group and non non compliance group ,through the Logistic a‐nalysis ,to probe into the main influencing factors of non compliance of early enteral nutrition .Results：There were 123 cases with non compliance of early feeding in 182 patients（67 .6% ） .There were statistically signifi‐cant difference in GCS score ,diarrhea ,vomiting or regurgitation ,gastric residual volume 〉100 mL and mechan‐ical ventilation between both groups（P〈0 .05） .Logistic regression analysis results showed that patients with diarrhea ,vomiting ,stomach or regurgitation ,gastric residual volume 〉100 mL and mechanical ventilation had influence on non compliance condition of early enteral nutrition feeding .Conclusion：Diarrhea ,vomiting or re‐gurgitation ,gastric residual volume 〉100 mL and mechanical ventilation may be the influencing factors of non compliance of early enteral nutrition of severe stroke patients .