早期肠内营养支持在脑卒中昏迷患者中的应用效果

Application effect of early enteral nutrition support in patients with stroke coma

目的分析早期肠内营养支持对脑卒中昏迷患者营养摄入情况的影响。方法选取2017年2月～2018年2月我院神经科收治的66例患者作为研究对象,采用随机数字表法将其分为肠内营养组和肠外营养组,每组各33例。肠外营养组患者进行肠外营养干预,肠内营养组患者进行肠内营养支持。2周后,从患者体格情况测量和营养相关血液生化检测指标方面评价两组患者的护理效果。结果两组患者护理前的上臂围和大腿围比较,差异无统计学意义(P>0.05);两组患者护理后的上臂围和大腿围与护理前比较,差异无统计学意义(P>0.05);两组患者护理后的上臂围和大腿围比较,差异无统计学意义(P>0.05)。两组患者护理前的相关血液生化指标水平比较,差异无统计学意义(P>0.05);肠外营养组患者护理后的相关血液生化指标水平均低于护理前,差异有统计学意义(P<0.05);肠内营养组护理前后的相关血液生化指标水平比较,差异无统计学意义(P>0.05);肠内营养组护理后的相关血液生化指标水平均高于肠外营养组,差异有统计学意义(P<0.05)。结论对脑卒中昏迷患者进行早期肠内营养支持,改善了患者营养摄入不足的问题。

Objective To analyze the effect of early enteral nutrition support on the nutrition intake of patients withstroke coma. Methods Sixty-six patients admitted to the department of neurology in our hospital from February 2017 toFebruary 2018 were enrolled in the study. They were divided into the enteral nutrition （EN） group and the parenteralnutrition （PN） group according to the random number table method, with 33 cases in each group. Patients in the PNgroup were given parenteral nutrition intervention, and patients in the EN group received enteral nutrition support. Twoweeks later, the nursing effect of the two groups were evaluated from the aspects of the patients＇ physical conditionmeasurement and nutrition-related blood biochemical test indicators. Results There were no significant differences inthe upper arm circumference and thigh circumference before nursing between the two groups （P〉0.05）. There was nosignificant difference between the upper arm circumference and thigh circumference after nursing in the two groups andbefore nursing （P〉0.05）. There were no significant differences in the upper arm circumference and thigh circumferenceafter nursing between the two groups （P〉0.05）. There were no significant differences in related blood biochemical indicator levels before nursing between the two groups （P〉0.05）. The related blood biochemical indicator levels in the PN group were lower than those before nursing, and the differences were statistically significant （P〈0.05）. There were nosignificant differences in the related blood biochemical indicator levels between before nursing and after nursing in theEN group （P〉0.05）. The related blood biochemical indicator levels in the EN group were higher than those in the PNgroup, and the differences were statistically significant （P〈0.05）. Conclusion Early enteral nutrition support for patientswith stroke coma can improve the insufficient intake of nutrition of patients.