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目的研究脑出血病人进食时间与应激性消化道出血的关系。方法对156例脑出血病人随机分为5组,分别于发病后24 h、3 d、7 d、10 d、14 d开始自胃管内进食,观察其消化道出血的情况。结果发病后24 h内开始进食者31例中2例发生消化道出血,发病后3 d、7 d、10 d开始进食的患者93例中有42例发生消化道出血,发病14 d后开始进食几乎无消化道出血的发生。结论发病24 h以内开始进食或发病14 d以后开始进食可明显降低应激性消化道出血的发生率。
Objective To study the relationship between eating time and stress-induced gastrointestinal bleeding in patients with intracerebral hemorrhage. Methods One hundred and sixty-six patients with intracerebral hemorrhage were randomly divided into five groups. Gastrointestinal bleeding was started at 24 h, 3 d, 7 d, 10 d, and 14 d after onset respectively. Results Among the 31 patients who started to eat within 24 hours after onset, 2 patients had digestive tract hemorrhage. After 3, 7 and 10 days of onset, 42 of 93 patients had gastrointestinal bleeding and began to eat after 14 days of onset Almost no incidence of gastrointestinal bleeding. Conclusion The incidence of stress-induced gastrointestinal bleeding can be significantly reduced by starting to eat within 24 hours after onset of illness or after 14 days of onset.