摘要
目的探讨急性脑卒中时进行肠内和肠外营养的临床意义,并对其在病情康复期的价值和实用性以及对早期营养的安全性、有效性和并发症进行评价。方法分别对两组经头颅CT证实的脑卒中患者进行早期肠外和肠内营养支持。肠外营养主要有氨基酸注射液、脂肪乳剂、维生素和微量元素等,肠内营养主要为能全素液。观察不同病情阶段多项营养指标和并发症。结果在发病早期实施肠外和肠内营养治疗的情况下,血糖、肌酐、白细胞、白蛋白有短暂的异常,3周后均恢复至正常。肠外营养组和肠内营养组在应用期间的并发症无明显差异;肠外营养组的病情评分比肠内营养组低,但两组的预后情况基本相近。结论对脑卒中患者早期实施肠内营养是一项重要措施,其安全性好,正确合理的营养支持治疗对改善卒中预后具有重要价值。结果还表明,能全素在肠内营养支持中有很好的疗效。
Objective To investigate the safety and efficacy of nutritional support in patients with stroke.Methods Sixty-three cases of stroke patients were treated by parenteral nutrition (PN)and enteral nutrition (EN),who were all diagnosed by CT.Some indices related to nutritional status and the complications were measured.Results After3weeks of treatment,the levels of serum glucose,creatine,WBC,serum albumin return to normal,although these indices were abnormal in the early stage.The rate of complications of EN group were similar to that of PN group.There was no significant difference in prognosis for both groups,although EN group was severe in functional lesion scale.Conclusions The nutritional treatment was important in the early stage of stroke,and it was safe and effective to the rehabilitation of patients.
出处
《中国临床营养杂志》
2002年第3期175-178,共4页
Chinese Journal of Clinical Nutrition
关键词
脑卒中
肠内营养
肠外营养
治疗
stroke
nutrition
serum albumin
complication
prognosis
