摘要
目的探讨经鼻肠管肠内营养和经鼻胃管肠内营养对脑出血患者营养状况和预后的影响。方法将急性脑出血患者78例随机分成两组进行肠内营养，一组为经鼻肠管肠内营养治疗组（n=39），另一组为经鼻胃管肠内营养组（n=39）。人院后24～48h内分别给予肠内营养支持。两组患者均于人院第2天和第15天采用美国国立卫生研究院卒中量表（NIHStrokeScale，NIHSS）进行神经功能评分；同时观察两组患者营养指标的变化以及临床相关并发症的发生率。结果入院后第15天，鼻肠管组患者NIHSS评分、呕吐、胃潴留、肺部感染发生率显著低于鼻胃管组（P〈0．05），但两组营养指标差异无统计学意义（P〉0．05）。结论经鼻肠管肠内营养支持与经鼻胃管营养支持相比，可改善急性重症脑出血患者神经功能，降低肠内营养引起的胃肠道及肺部感染并发症的发生率。
Objective To investigate the effect of enteral nutrition through nasointestinal tube or nasogastric tube on the prognosis and nutrition indicators of patients with a cerebral hemorrhage. Methods A total of 78 case of cerebral hemorrhage were randomly divided into two group, one groupe gave enteral nutrition through nasointestinal tube （n=39） and the other through nasogastric tube（n=39）. The two groups were given enteral nutrition on 24-48 h after admission. Neurological scores of patients were tested by National Institutes of Health Stroke Scale （NIH Stroke Scale, NIHSS） at 2 d and 15 d after admission respectively, and the changes of nutritional indicators and the complication were detected. Results The NIHSS and incidence of vomit fifteenth days after admission, gastric retention and lung infection were significantly lower in nasointestinal tube group（P〈0.05）,and the nutrition indicators in two group were no significant difference（P〉0.05）. Conclusion Enteral nutrition through nasointestinal tube can improve the acute neurological function,and reduce the incidence of Pulmonary infection and other complication of enteral nutrition as well.
出处
《中国现代医生》
2016年第4期77-79,共3页
China Modern Doctor
关键词
脑出血
脑卒中
肠内营养
鼻肠管
预后
Cerebral hemorrhage
Stroke
Enteral nutrition
Nasointestinal tube
Prognosis
