脑卒中患者幽门后喂养和胃内喂养的比较研究

Comparative study of Helicobacter pylori and gastric feeding inpatients with stroke

目的讨论对脑卒中患者进行幽门后喂养的益处。方法按照幽门后喂养和普通胃内喂养两种肠内营养给予方式将2015年1月-2016月8月首都医科大学附属北京天坛医院收治的110例脑卒中患者随机分为观察组和对照组，从营养改善情况及置管并发症等方面评价两种喂养方式的效果。结果在置管后统计反流率和误吸率，在第3、7、15天检测两组患者总蛋白、前白蛋白含量、血清尿素氮水平等，观察组（幽门后喂养组）各项指标均高于对照组（胃部喂养组），观察组反流率和误吸率均低于对照组。结论幽门后喂养比较胃内喂养可改善脑卒中患者营养状况，减少并发症，更有利于患者康复。

Objective To discuss the benefits of giving nutrition after Pylorus in patients with stroke. Methods on the basis of two different feeding modes ： after Pylorus feeding and ordinary stomach feeding, 110 cases of stroke patients in our hospital were divided into test group and control group to evaluate the effect of two different feeding modes from the nutrition improvement and the complications of catheterization. Results keep a tally of the reflux rate and aspiration rate and test the levels of total protein, pre albumin, serum urea nitrogen of patients in two groups 3, 7, 15 days after catheterization, the result showed that all the indicators （the levels of total protein, pre albumin, serum urea nitrogen） in the test group（after Pylorus feeding group） were higher than that in control group（stomach feeding group）, meanwhile, the test group of reflux rate and aspiration rate were lower than the control group. Conclusions The feeding mode of after Pylorus is better on improving the nutritional status and reducing the complications of patients with stroke, and is more conducive to the rehabilitation of patients.