序贯性肠内营养与肠外营养对重症脑出血患者营养状况改善的比较研究

Effect of sequential enteral nutrition versus parenteral nutrition in improving nutrional status for patients with severe cerebral hemorrhage

目的比较序贯性肠内营养与肠外营养在重症脑出血患者中的应用效果。方法选取84例重症脑出血患者作为研究对象,按数字奇偶法分为2组,各42例。对照组采用肠外营养,观察组采用序贯性肠内营养,比较2组治疗前后神经功能、营养指标水平、并发症发生情况。结果治疗后2周,观察组血红蛋白(Hb)、前白蛋白(PAB)、白蛋白(Alb)含量高于对照组,体质量、肱三头肌皮肌褶皱厚度(TSF)、上臂肌围(MAMC)高于对照组,差异有统计学意义(P<0.05)。治疗后2周,观察组美国国立卫生研究院卒中量表(NIHSS)评分为(11.48±5.61)分,低于对照组的(17.49±6.28)分,并发症发生率(21.43%)低于对照组(50.00%),差异有统计学意义(P<0.05)。结论与肠外营养相比,序贯性肠内营养可促进重症脑出血患者肠道恢复,改善患者营养状况。

Objective To compare the effect of sequential enteral nutrition and parenteral nutrition in patients with severe cerebral hemorrhage.Methods Eighty-four patients with severe cerebral hemorrhage treated in our hospital were selected and divided into two groups according to digital parity method.The control group(n=42)was given parenteral nutrition,while the observation group(n=42)was used sequential enteral nutrition.Nerve function,nutritional indicators,and incidence of complications before and after treatment were compared between the two groups.Results The levels of hemoglobin(Hb),prealbumin(PAB),albumin(Alb)after 2-week treatment in the observation group were higher than that in the control group,and the body weight,triceps skin fold(TSF),and mid arm muscle circumference(MAMC)were higher than those in the control group(P<0.05).The observation group had lower National Institutes of Health Stroke Scale(NIHSS)score at 2 weeks after treatment than the control group[(11.48±5.61)vs.(17.49±6.28),P<0.05].The complication rate was lower than that in the control group,the difference was statistically significant(21.43%vs.50.00%,P<0.05).Conclusion Compared with parenteral nutrition,sequential enteral nutrition can promote intestinal recovery and improve the nutritional status of patients.