摘要
目的探究联合应用甘露醇与肠内营养对脑出血患者NIHSS、Barthel、MMSE及营养状态的影响。方法选取2019年3月至2021年3月我院接收的80例脑出血患者为对象,以数字号(1~80)形式随机分设组别,即对照组、观察组,各组例数40例。选择行甘露醇治疗对照组患者,选择行甘露醇与肠内营养共同治疗观察组患者。以NIHSS、Barthel、MMSE评分,营养状态,治疗效果,炎症因子水平为判定指标,对不同用药后效果分析。结果治疗后,对照组的NIHSS评分高于观察组,Barthel评分、MMSE评分低于观察组(P<0.05)。在比较TP、Hb和ALB营养状态中,治疗后,对照组数据结果均低于观察组(P<0.05)。治疗效果相比,对照组的80.00%<观察组的95.00%;对照组炎症因子水平>观察组(P<0.05)。结论联合应用甘露醇与肠内营养治疗脑出血患者,治疗效果佳,能有效改善患者的神经功能和认知能力、营养状况和免疫功能,日常生活能力提升。
Objective To explore the effect of combined mannitol and enteral nutrition on NIHSS,Barthel,MMSE and nutritional status in patients with cerebral hemorrhage.Methods A total of 80 patients with cerebral hemorrhage received in our hospital from March A total of 80 patients with cerebral hemorrhage received in our hospital from March 2019 to March 2021 were selected as the subjects,and were randomly divided into groups in the form of numbers(1-80),namely the control group and the observation group,with 40 cases in each group.Patients in the control group were selected for mannitol treatment,and patients in the observation group were selected for co-treatment with mannitol and enteral nutrition.Using NIHSS,Barthel,MMSE scores,nutritional status,treatment effect,and inflammatory factor levels as the judging indicators,the effects of different medication were analyzed.Results After treatment,the NIHSS score in the control group was higher than that in the observation group,while the Barthel score and MMSE score were lower than those in the observation group(P<0.05).In comparing the nutritional status of TP,Hb and ALB,after treatment,the data results of the control group were lower than those of the observation group(P<0.05).Compared with the treatment effect,80.00%of the control group<95.00%of the observation group;the level of inflammatory factors in the control group>the observation group(P<0.05).Conclusion The combined application of mannitol and enteral nutrition in the treatment of patients with cerebral hemorrhage has a good therapeutic effect,and can effectively improve the patient's neurological function and cognitive ability,nutritional status and immune function,and improve the ability of daily life.
作者
王杰
Wang Jie(Department of Rehabilitation,Jiamusi Central Hospital,Heilongjiang Province,Jiamusi 154002,Heilongjiang Province,China)
出处
《罕少疾病杂志》
2022年第12期33-35,共3页
Journal of Rare and Uncommon Diseases
关键词
脑出血
肠内营养
甘露醇
Cerebral Hemorrhage
Enteral Nutrition
Mannitol
