经三腔鼻空肠管在急性脑卒中患者早期肠内营养中的应用研究

The research of three cavity nasaljejunal tube providing early enteral nutrition for patients with acute stroke

目的比较经三腔鼻空肠管与普通经鼻空肠管在急性脑卒中患者早期肠内营养中应用效果。方法采取随机数字方法将52例需要肠内营养支持的急性脑卒中患者随机分为经三腔鼻空肠管组和普通经鼻空肠管组,每组26例,比较两组患者营养支持后血清白蛋白、血红蛋白及淋巴细胞计数等指标和肺部感染、上消化道出血及腹泻等并发症发生情况。结果营养支持前后,两组患者血清白蛋白、淋巴细胞计数水平及血红蛋白的组间比较差异无统计学意义(P均>0.05)。营养支持14d内经三腔鼻空肠管组的肺部感染、上消化道出血发生率均明显低于普通经鼻空肠管组。结论经三腔鼻空肠管与普通经鼻空肠管在急性脑卒中患者早期肠内营养供给中均能满足患者的营养需求,三腔鼻空肠管较之普通鼻空肠管能显著减少并发症。

Objective To comparison the effectiveness of three cavity nasaljejunal tube and cavity nasaljejunal tube providing early enteral nutrition for patients with acute stroke .Methods 52 patients with acute stroke were equably and randomly divided into three-cavity nasojejunal tube group and nasojejunal tube group .The biochemical indicators and complications were compared between these two groups .Results Serum albumin , hemoglobin and lymphocyte count were not significantly different between these two groups before and after nutritional support（P〉0.05）.However,14 days after nutritional support, lung infections, Upper gastrointestinal bleeding were significant different between the two groups .Treatment group was more remarkable decrease than controlled group . Conclusion Demand of patients with acute stroke can be satisfied three-nasal cavity nasal jejunal tube or ordinary jejunal tube in the early enteral nutrition .But three-nasal cavity nasaljejunal tube can significantly reduce complications than cavity nasaljejunal tube .