脑卒中急性胃肠功能轻度障碍患者间断肠内营养研究

Intermittent nasogastric tube feeding for mild acute gastrointestinal dysfunction developed in stroke patients

目的探讨脑卒中急性胃肠功能轻度障碍患者间断肠内营养的方法和效果。方法将103例脑卒中吞咽障碍患者随机分为观察组51例和对照组52例,对照组采用传统持续输注方式、观察组采用间断输注方式进行肠内营养,观察两组患者肠内营养耐受性和输注后3d、7d总热量达标率。结果两组肠内营养耐受性比较,差异无统计学意义(P>0.05)。观察组输注后3d、7d总热量达标率显著高于对照组,差异有统计学意义(均P<0.05)。结论对急性胃肠功能轻度障碍的脑卒中患者,采取间断喂养的肠内营养方式,可让患者获取更多能量,且更符合患者的生理状态和需求。

Objective To explore the effects of intermittent nasogastric tube feeding for mild acute gastrointestinal dysfunction developed in severe stroke patients.Methods A total of 103 patients with stroke and developing gastrointestinal dysfunction were randomly assigned into an observation group of 51 and a control group of 52,with the former subjected to bolus nasogastric tube feeding and the latter to intermittent feeding.Patients in both groups were observed for tolerance of enteral nutrition,as well as the rates of achieving total calories at 3 and 7 days of admission.Results There was no significant difference between the two groups in tolerance of enteral nutrition（P0.05）.The rates of achieving total calories at 3 and 7 days of admission in the observation group were significantly higher than in the control group（P0.05 for both）.Conclusion For patients with stroke and developing gastrointestinal dysfunction,intermittent feeding could provide patients with more calories,better fit into patients′physiological status and needs.