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目的探讨肠内营养添加对合并吞咽困难的急性脑出血患者预后的影响。方法 67例急性脑出血患者随机分为普通医院饮食组和肠内营养添加组(普通医院饮食鼻饲基础上加上鼻饲肠内营养添加剂),观察患者发病后3个月和6个月的神经功能(改良的Rankin量表评分,MRS)。结果观察患者发病后3个月和6个月的神经功能(改良的Rankin量表评分,MRS),普通饮食组3个月和6个月的MRS评分为(2.81±0.90)和(2.78±1.01),肠内营养添加组3个月和6个月的MRS评分为(2.17±0.89)和(2.14±1.06),两组之间差别具有统计学意义(P<0.05),肠内营养添加组要明显优于普通医院饮食组。结论肠内营养添加治疗可促进合并吞咽困难的急性脑出血患者的神经功能结局。
Objective To investigate the effect of enteral nutrition on the prognosis of patients with acute cerebral hemorrhage complicated with dysphagia. Methods A total of 67 patients with acute cerebral hemorrhage were randomly divided into general hospital diet group and enteral nutrition group (nasal feeding enteral nutrition supplement based on general hospital diet nasal feeding), and neurological function at 3 months and 6 months after onset (Modified Rankin Scale Score, MRS). Results The neurological function (Modified Rankin Scale, MRS) at 3 months and 6 months after onset of symptoms was observed. The MRS scores at 3 and 6 months in the general diet group were (2.81 ± 0.90) and (2.78 ± 1.01 ). The MRS score of three months and six months in enteral nutrition group were (2.17 ± 0.89) and (2.14 ± 1.06), respectively. The difference between the two groups was statistically significant (P <0.05). The enteral nutrition group To be significantly better than the general hospital diet group. Conclusion Enteral nutrition can promote neurological outcome in acute cerebral hemorrhage patients with dysphagia.