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[目的]探讨脑卒中合并吞咽困难患者早期应用不同肠内营养的效果及营养支持对患者康复的影响。[方法]42例脑卒中合并吞咽困难患者随机分为治疗组(A组)、对照组(B组),分别于入院72h内给予:对照组(B组)普通营养制剂牛奶分次胃管注入,治疗组(A组)以瑞素作为肠内营养制剂,连续性经泵滴注,入院3周末测量两组病人多项营养指标,同期观察并发症腹胀、腹泻、应激性溃疡、吸入性肺炎、死亡发生人数(发生率)。[结果]3周末A组各营养指标高于B组,差异有统计学意义(P﹤0.05),A组各并发症出现数低于B组,其中应激性溃疡、腹胀、腹泻、吸入性肺炎人数(发生率)(P﹤0.05),死亡发生人数(发生率)差异无统计学意义(P﹥0.05)。[结论]脑卒中合并吞咽困难患者早期应用标准营养制剂连续性经泵滴注肠内营养支持,可改善机体的营养状况,有利于病人的康复。
[Objective] To explore the effect of different enteral nutrition in early stroke patients with dysphagia and the effect of nutritional support on rehabilitation of patients. [Methods] 42 stroke patients with dysphagia were randomly divided into treatment group (group A) and control group (group B), and were given intraperitoneal instillation group (group B) , The treatment group (A group) with Reisu as enteral nutrition preparations, continuous infusion pump, three weeks after admission measured a number of nutritional indicators of two groups of patients, simultaneous observation of complications bloating, diarrhea, stress ulcer, inhalation Pneumonia, the number of deaths (incidence). [Results] The nutritional indexes in group A were higher than those in group B at 3 weeks (P <0.05). The number of complications in group A was lower than that in group B, and the stress ulcer, bloating, diarrhea, inhalation The number of pneumonia (incidence) (P <0.05) and the number of deaths (incidence) were not significantly different (P> 0.05). [Conclusion] The early application of standard nutritional preparations in patients with stroke complicated with dysphagia by pump infusion of enteral nutrition support can improve the nutritional status of the body, which is conducive to the patient’s recovery.