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目的探讨肠内营养方式对重症卒中相关性肺炎(SAP)患者预后的影响。方法选取62例重症卒中相关性肺炎患者为研究对象,分为传统鼻-胃组31例(对照组)和鼻-肠组31例(观察组),观察两组患者治疗期间的营养状况、神经损伤状况及并发症发生率。结果观察组血红蛋白(Hb)、白蛋白(Ab)及总蛋白改善情况显著高于对照组,神经功能缺损评分(NIHSS)及并发症发生率显著低于对照组(P<0.05)。结论鼻-肠持续泵注营养可以有效改善重症卒中相关性肺炎患者营养情况及神经损伤情况,降低并发症发生率,改善患者预后。
Objective To investigate the effect of enteral nutrition on the prognosis of patients with severe stroke-associated pneumonia (SAP). Methods Totally 62 patients with severe stroke-associated pneumonia were divided into three groups: the traditional nasal-stomach group (31 cases) and the nasal-intestinal group (31 cases). The nutritional status, Injury and complication rate. Results The improvement of hemoglobin (Hb), albumin (Ab) and total protein in the observation group was significantly higher than that in the control group. The neurological deficit score (NIHSS) and complication rate were significantly lower than those in the control group (P <0.05). CONCLUSIONS: Nasal-intestinal continuous pumping of nutrients can effectively improve the nutritional status and nerve injury in patients with severe stroke-related pneumonia, reduce the incidence of complications and improve the prognosis of patients.