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目的:探讨早期肠内营养治疗能否改善急性卒中的近期预后。方法:采用前瞻性非随机对照研究,146例急性卒中伴吞咽障碍患者中;研究组(肠内营养)75例,对照组(家庭喂养饮食)71例。观察入院第1天、7天及90天后两组患者营养状态,同时比较入院7天和90天后(3个月)NIHSS评分。结果:住院7天,研究组营养指标显著优于对照组、营养不良发生率显著低于对照组;90天后研究组的NIHSS显著优于对照组;结论:早期肠内营养治疗能够改善急性卒中神经功能的近期预后。
Objective: To investigate whether early enteral nutrition therapy can improve the short-term prognosis of acute stroke. METHODS: A prospective, nonrandomized, controlled study of 146 patients with acute stroke with swallowing disorders was performed; 75 in the study group (enteral nutrition) and 71 in the control group (home-fed diet). The nutritional status of the two groups was observed on the 1st day, the 7th day and the 90th day after admission. The NIHSS scores at 7 days and 90 days (3 months) were also compared. Results: After 7 days of hospitalization, the nutritional indexes of the study group were significantly better than those of the control group, and the incidence of malnutrition was significantly lower than that of the control group. After 90 days, the NIHSS of the study group was significantly better than that of the control group. CONCLUSION: Early enteral nutrition can improve acute stroke Short-term prognosis of function.