个性化肠内营养干预用于重症脑出血患者早期肠内营养支持的效果观察

Observation on the Effect of Individualized Enteral Nutrition Intervention on Early Enteral Nutrition Support in Patients with Severe Cerebral Hemorrhage

目的:探讨重症脑出血患者早期肠内营养支持采用个性化肠内营养干预的临床效果。方法:选取2022年1—10月广东省肇庆市第一人民医院收治的重症脑出血患者50例作为研究对象,根据随机数字表法分为对照组与观察组,各25例。观察组给予个性化肠内营养干预,对照组给予常规肠内营养干预。比较两组患者肠内营养第7天热量摄入达标率、误吸发生率、营养指标。结果:观察组患者肠内营养第7天热量摄入达标率高于对照组,差异有统计学意义(P=0.023);观察组患者误吸发生率低于对照组,差异有统计学意义(P=0.042);护理后,两组患者白蛋白、总蛋白、前白蛋白水平均升高,差异有统计学意义(P<0.05);观察组患者白蛋白、总蛋白、前白蛋白水平高于对照组,差异有统计学意义(P<0.001)。结论:给予重症脑出血患者个性化肠内营养干预有利于改善患者的营养状态,可提高患者肠内营养第7天热量摄入达标率,降低患者误吸发生率。

Objective:To explore the clinical effect of individualized enteral nutrition intervention on early enteral nutrition support in patients with severe cerebral hemorrhage.Methods:From January to October 2022,fifty patients with severe cerebral hemorrhage admitted to Zhaoqing First People's Hospital,Guangdong Province were selected as the research objects.According to the random number table method,they were divided into control group and observation group,with 25 cases in each group.The observation group was given personalized enteral nutrition intervention,and the control group was given routine enteral nutrition intervention.The caloric intake compliance rate,incidence of aspiration,and nutritional indicators were compared between the two groups on the 7th day of enteral nutrition.Results:The calorie intake rate of the observation group on the 7th day of enteral nutrition was higher than that of the control group,and the difference was statistically significant(P=0.023).The incidence of aspiration in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.042).After nursing,the levels of albumin,total protein and prealbumin in the two groups were all increased,and the difference was statistically significant(P<0.05).The levels of albumin,total protein,and prealbumin in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.001).Conclusion:Individualized enteral nutrition intervention for patients with severe cerebral hemorrhage is beneficial to improve the nutritional status of patients,increase the rate of calorie intake on the 7th day of enteral nutrition,and reduce the incidence of aspiration.