摘要
目的探讨自制匀浆液应用于脑卒中患者肠内营养的效果。方法将200例中度、严重脑卒中患者根据患者家属意愿分为A组(n=60)和B组(n=85)和C组(n=55)。A组接受自制匀浆液肠内营养支持和护理,B组接受瑞素肠内营养支持和护理,C组采用家属自备流食进行营养支持和护理。统计分析3组患者营养支持前后总蛋白、白蛋白、前白蛋白等营养指标以及营养风险筛查(NRS-2002)评分、生活质量评分、神经功能缺损评分(NIHSS)和格拉斯哥昏迷评分(GCS),并观察患者不良反应和并发症的发生情况。结果 3组患者营养支持前总蛋白、白蛋白、前白蛋白、NRS-2002评分、生活质量评分、NIHSS评分和GCS评分比较差异无统计学意义,A组和B组营养支持后总蛋白、白蛋白、前白蛋白、NRS-2002评分、生活质量评分、NHISS评分和GCS评分以及不良反应和并发症发生率比较差异亦无统计学意义(P>0.05)。C组营养支持后总蛋白、白蛋白、前白蛋白均低于A组和B组,差异有统计学意义(P<0.05)。C组营养支持后躯体功能、总体健康、活力等8个维度的生活质量评分均低于A组和B组,差异有统计学意义(P<0.05)。C组营养支持后NIHSS评分、NRS-2002评分高于A组、B组,而GCS评分低于A组和B组;而C组不良反应和并发症的发生率为18.18%,高于A组的5.00%和B组的5.88%,差异有统计学意义(P<0.05)。结论脑卒中患者肠内营养采用自制匀浆液并进行相应的护理,可取得与商品营养液相似的效果,可改善脑卒中患者的营养状况、认知功能,促进患者肢体能力的恢复,改善患者的预后,显著提高患者的生活质量,并降低不良反应和并发症的发生率,值得临床推广使用。
Objective To investigate the effect of homemade nutrient grout in enteral nutrition support of patients with stroke. Methods200 patients with moderate or severe stroke were divided into group A（ n = 60）,group B（ n = 85） and group C（ n = 55） according to family wishes. Group A received homemade nutrient grout for enteral nutritional and nursing care. Group B received Enteral Nutrition Emulsion in Enteral nutrition support and care. Group C received family- owned liquid diet for nutritional support and regular care. Total protein（ TP）,albumin（ ALB）,prealbumin（ PA）,nutritional status and nutritional risk screening（ NRS- 2002）,quality of life,neurological function defect score（ NHISS）,Glasgow coma scale（ GCS）,incidence of adverse reactions and complications of the 3 groups were statistically analyzed. Results Total protein,white protein,nutrition indicators,life quality,NHISS and GCS of 3 groups before nursing has no statistic difference. TP,ALB,PA,NRS- 2002,life quality,NHISS,GCS and adverse reaction and complication incidence of group A and group B after nursing has no statistic differences. TP,ALB and PA of C group after nursing are lower than group A and group B,and the difference is statistically significant（ P 〈0. 05）. Physical functioning,general health,vitality,and other 5 dimensions of life quality of Group C after nursing are lower than that of group A and group B,and the difference is statistically significant（ P 〈0. 05）. NHISS and NRS- 2002 of group C are higher than group A and group B,and GCS of group C is lower than group A and group B（ P 〈0. 05）. Adverse reactions and complication rate of group C is 18. 18%,which are higher than 5. 00% and 5. 88% of group A and group B（ P〈 0. 05）. Conclusion Homemade nutrient grout used in intestinal nutrition of patients with brain stroke is worthy of clinical use,because it can gain similar effect as merchandise nutrition liquid,improve nutrition status,prognosis,life quality,cognitive function and patients limb capacity of recovery,and significantly reduce bad reaction and complications occurred rate.
出处
《黑龙江医学》
2015年第4期360-363,共4页
Heilongjiang Medical Journal
关键词
自制匀浆液
脑卒中
肠内营养
应用效果
Homemade nutrient grout
Brain stroke
Intestinal internal nutrition
Application effect
