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目的研究脑卒中患者早期肠内营养对改善患者营养状况、促进恢复、减少并发症及降低费用等方面的作用。方法将100例脑卒中患者随机分为早期肠内营养(EN,n=50)组、肠外营养(PN,n=50)组。分别对2组患者测定10d血清白蛋白、血糖、及并发症发生率、预后等进行统计分析。结果 EN组血清白蛋白、血糖、及并发症发生率、预后与PN组相比差异显著(P<0.05)。而各组谷丙转氨酶、胆红素、尿素氮、肌酐、血糖、胆固醇和甘油三酯、均无显著差异。结论早期肠内营养能明显改善脑卒中患者营养不良状况,促进恢复及减少并发症发生率,减少治疗费用。
Objective To study the role of early enteral nutrition in stroke patients in improving nutritional status, promoting recovery, reducing complications and reducing costs. Methods One hundred patients with stroke were randomly divided into early enteral nutrition group (EN, n = 50) and parenteral nutrition group (PN, n = 50). The levels of serum albumin, blood glucose, morbidity and prognosis of 10 patients were measured respectively in two groups for statistical analysis. Results The serum albumin, blood glucose, complications and prognosis in EN group were significantly different from those in PN group (P <0.05). The alanine aminotransferase, bilirubin, urea nitrogen, creatinine, blood glucose, cholesterol and triglycerides, no significant difference. Conclusion Early enteral nutrition can significantly improve malnutrition in stroke patients, promote recovery and reduce the incidence of complications, reduce the cost of treatment.