个体化肠内营养支持治疗老年脑出血患者的疗效观察

Curative Effects of Individualized Enteral Nutrition Support on Cerebral Hemorrhage in Elderly Patients

目的观察个体化肠内营养支持治疗老年脑出血患者的疗效。方法 60例老年脑出血患者根据入院顺序随机分为两组,对照组(n=30)予以常规肠内营养支持治疗,观察组(n=30)予以个体化肠内营养支持治疗,两组疗程均为3周。比较两组治疗前后血清血红蛋白(Hb)、白蛋白(ALB)、尿素氮(UN)、肌酐(Cr)、谷丙转氨酶(GPT)等实验室指标及肠内营养达到全量时间、住院天数、胃肠道不良反应发生率。结果观察组治疗后血清Hb、ALB等表达水平明显高于治疗前及对照组治疗后(P<0.01),而治疗前后及两组治疗后血清UN、Cr、GPT等表达水平比较无显著差异性(P>0.05);观察组肠内营养达到全量时间明显快于对照组(P<0.01),住院天数明显少于对照组(P<0.01),胃肠道不良反应发生率明显低于对照组(P<0.05)。结论个体化肠内营养支持可提高老年脑出血患者营养状态,减少胃肠道不良反应发生率,并缩短住院时间。

Objective To observe the curative effect of individualized enteral nutrition support on cerebral hemor- rhage in elderly patients. Methods 60 elderly patients with cerebral hemorrhage were randomly divided into two groups ac- cording to admission order, the control group （n = 30） was treated with conventional enteral nutrition support treatment, the observation group （ n = 30） was treated with individualized enteral nutrition support treatment, the course of two groups was 3 weeks. The laboratory indexes such as serum hemoglobin （Hb） , albumin （propagated） , urea nitrogen （UN） , creafinine （Cr）, cereal third transaminase （GFF） before and after treatment were compared, and the time of enteral nutrition to whole quantity, hospitalization days, the incidence of gastrointestinal side effects of two groups were compared. Results The ex- pression levels of Hb and ALB in the observation group after treatment were significantly higher than those before treatment and the control group after treatment （P 〈0. 01）. The expression levels of serum UN, Cr, GPT before treatment had no sig- nificant difference compared with that after treatment （P 〉 0. 05 ） and so it was with the expression levels of serum UN, Cr, GPT ＂after treatment （ P 〉 0. 05 ）. The time of enteral nutrition to whole quantity in the observation group was shorter than that of control group （P 〈0. 01 ）, the hospital stay was significantly shorter than that of control group （P 〈0. 01 ） and the inci- dence of gastrointestinal complications was significantly lower than that of the control group （ P 〈 0.05 ）. Conclusion Indi- vidualized enteral nutrition support can improve nutrition status of the elderly patients with cerebral hemorrhage, reduce the incidence of gastrointestinal complications and shorten the length of hospital stay.