| 庄学仕.肠内序贯营养支持治疗老年重症脑卒中 40例的效果评价[J].安徽医药,2023,27(4):771-774. |
| 肠内序贯营养支持治疗老年重症脑卒中 40例的效果评价 |
| Evaluation of enteral sequential nutritional support in the treatment of 40 elderly patients with severe stroke |
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| DOI：10.3969/j.issn.1009-6469.2023.04.031 |
| 中文关键词: 肠道营养 脑卒中 血清白蛋白 营养状态 神经功能 老年人 |
| 英文关键词: Enteral nutrition Stroke Serum albumin Nutritional status Nerve function Aged |
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| 中文摘要: |
| 目的分析肠内序贯营养支持在老年重症脑卒中病人中的应用效果。方法将 2016年 6月至 2019年 6月期间利辛县人民医院收治的 80例老年重症脑卒中病人按随机数字表法分为对照组( n=40)和研究组( n=40)分别给予常规肠内营养支持和肠内序贯营养支持。于入院时和治疗 14 d时检测病人营养状态指标以及神经功能。出院后 6个，月采用 Barthel指数( BI)评价病人生活质量。结果两组病人治疗 14 d时血清白蛋白( Alb)、前白蛋白( PA)水平较入院时均明显降低( P<0.05)研究组病人治疗 14 d时血清 Alb［(35.24±3.18)g/L比( 30.16±3.52)g/L］、 PA［(216.17±32.19)mg/L比( 145.34±25.48)mg/L］水平显著，高于对照组( P<0.05)。研究组住 ICU时间( 6.8±1.4)d和机械通气时间( 1.2±0.8)d均短于对照组( 7.2±1.3)d、(2.6±1.3)d，均 P<0.05。研究组病人出院 3个月时的神经功能缺损量表( NDS)评分［(13.32±2.87)分比( 17.53±2.93)分］和美国国立卫生研究院脑卒中量表( NIHSS)评分［( 12.18±2.29)分比( 15.65±2.56)分］均明显低于对照组( P<0.05)。研究组出院 6个月时 BI明显高于对照组(69.26±8.28比 54.69±7.34，P<0.05)。结论相较于常规肠内营养支持，肠内序贯营养支持更能有效维持老年重症脑卒中病人的营养状态，病人神经功能和生活质量改善更好。 |
| 英文摘要: |
| Objective To analyze the effect of intestinal sequential nutritional support in elderly patients with severe stroke.Meth? ods Eighty elderly patients with severe stroke admitted to the People′s Hospital of Lixin County from June 2016 to June 2019 wererandomly assigned into the control group (n=40) and the study group (n=40), and were given routine enteral nutrition support and sequential enteral nutrition support respectively. Nutritional status and neurological function were measured at admission and 14 days after treatment. Barthel index (BI) was used to evaluate the quality of life of patients 6 months after discharge.Results The levels of serum albumin (Alb) and prealbumin (PA) of the two groups of patients were significantly lower than those on admission (P<0.05) at the 14th day of treatment. The patients in the study group were treated for 14 d with serum Alb [(35.24±3.18)g/L vs. (30.16±3.52)g/L], PA [(216.17±32.19)mg/L vs. (145.34±25.48)mg/L] levels were significantly higher than those of the control group (P<0.05). The studygroup stayed in ICU (6.8±1.4)d and mechanical ventilation time (1.2±0.8) d were shorter than those of the control group (7.2±1.3)d,(2.6±1.3)d (P<0.05). The neurological deficit scale (NDS) score [(13.32±2.87) points vs. (17.53±2.93) points] and the National Institutesof Health Stroke Scale (NIHSS) score of the patients in the study group at 3 months after discharge from the hospital [(12.18±2.29)points vs. (15.65±2.56) points] were significantly lower than those of the control group (P<0.05). BI in the study group was significantly higher than that in the control group at 6 months after discharge [(69.26±8.28) vs. (54.69±7.34), P<0.05].Conclusion Compared withconventional enteral nutrition support, enteral sequential nutrition support is more effective in maintaining the nutritional status of elderly patients with severe stroke, and the neurological function and quality of life of the patients are better improved. |
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