高血压脑出血患者术后早期肠内营养护理效果分析

Effect Analysis of Early Postoperative Enteral Nutrition Nursing for Patients with Hypertensive Intracerebral Hemorrhage

目的 分析高血压脑出血患者术后早期肠内营养护理效果。方法 选取2020年1月—2023年1月睢宁县人民医院重症医学科收治的80例高血压脑出血术后患者为研究对象。采用随机数字表法,分为观察组与对照组,每组40例。对照组采用常规营养干预,观察组采用早期肠内营养支持。比较两组营养状态、氧化应激反应及神经功能与健康状况。结果 治疗前,两组Hb、ALB、TP、PAB水平比较无统计学意义(P>0.05);治疗后,两组Hb、ALB、TP、PAB水平均升高,且观察组高于对照组(P<0.05)。治疗前,两组GSH-PX、LPO、MDA水平比较(P>0.05);治疗后,两组GSH-PX水平均升高,且观察组高于对照组,LPO、MDA降低,且观察组低于对照组,(P<0.05)。治疗前,两组NIHSS、APACHEⅡ比较无统计学意义(P>0.05);治疗后,两组NIHSS、APACHEⅡ降低,且观察组低于对照组(P<0.05)。结论 高血压脑出血患者在经过有效的临床干预后,采取早期肠内营养支持能有效改善营养状况,降低应激反应,有利于恢复。

Objective To analyze effect of early enteral nutrition nursing for postoperative hypertensive intracerebral hemorrhage patients.Methods The paper chose 80 postoperative hypertensive intracerebral hemorrhage patients admitted to ICU Department of Suining County People's Hospital from January 2020 to January 2023 as research subjects,and divided them into observation group and control group with random number table method,with 40 cases in each group.Control group was treated with routine nutritional intervention,while observation group with early enteral nutrition support.Nutritional status,oxidative stress response,neurological function,and health status was compared between two groups.Results Before treatment,comparison of Hb,ALB,TP,and PAB levels between two groups showed(P>0.05).After treatment,Hb,ALB,TP,and PAB levels of two groups increased,those of observation group were higher than control group(P< 0.05).Before treatment,comparison of GSH-PX,LPO,and MDA levels between two groups showed(P> 0.05).After treatment,levels of GSH-PX increased in two groups,those of observation group were higher than control group,levels of LPO and MDA decreased,those of observation group were lower than control group(P< 0.05).Before treatment,comparison of NIHSS and APACHE Ⅱ levels between two groups showed(P> 0.05).After treatment,NIHSS and APACHE Ⅱ levels decreased in both groups,those of observation group were lower than control group(P< 0.05).Conclusion After effective clinical intervention,early enteral nutrition support can improve nutritional status of hypertensive intracerebral hemorrhage patients effectively,reduce stress reactions,and facilitate recovery of patients.