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目的探讨重症脑卒中患者采用肠外肠内联合营养对血浆蛋白和并发症的影响。方法 92例重症脑卒中患者,随机分为观察组和对照组,各46例。对照组采用鼻饲匀浆饮食,观察组采用肠外肠内联合营养,对比两组干预前后效果。结果干预后,观察组血红蛋白、转铁蛋白、总蛋白、血清蛋白、前清蛋白分别为(108.9±13.4)g/L、(2.38±0.63)g/L、(61.6±7.4)g/L、(34.7±2.2)g/L、(212.7±13.4)mg/L,均高于对照组(95.1±12.5)g/L、(1.82±0.95)g/L、(46.2±6.3)g/L、(25.0±3.2)g/L、(142.7±48)mg/L,差异均具有统计学意义(P<0.05)。观察组并发症发生率10.87%低于对照组58.70%,差异具有统计学意义(P<0.05)。结论重症脑卒中患者采用肠外肠内联合营养可明显提高血浆蛋白指标,改善患者营养,降低并发症发生率。
Objective To investigate the effect of parenteral enteral nutrition on plasma protein and complications in patients with severe stroke. Methods Ninety-two patients with severe stroke were randomly divided into observation group and control group, with 46 cases in each group. The control group was fed with nasal feeding homogenate, the observation group was treated with parenteral enteral nutrition, compared with the two groups before and after intervention. Results After intervention, the levels of hemoglobin, transferrin, total protein, serum albumin and prealbumin in observation group were (108.9 ± 13.4) g / L, (2.38 ± 0.63) g / L and (34.7 ± 2.2) g / L and (212.7 ± 13.4) mg / L respectively, which were significantly higher than those in the control group (95.1 ± 12.5 g / L, 1.82 ± 0.95 g / L and 46.2 ± 6.3 g / (25.0 ± 3.2) g / L and (142.7 ± 48) mg / L, respectively, with statistical significance (P <0.05). The incidence of complications in the observation group was 10.87% lower than that in the control group (58.70%), the difference was statistically significant (P <0.05). Conclusion Severe stroke patients using parenteral enteral nutrition can significantly improve plasma protein index, improve patient nutrition and reduce the incidence of complications.