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早期肠内营养对老年脑出血患者预后的影响 被引量:4

Effects of Early Enteral Nutrition on Prognosis in Elderly Patients with Cerebral Hemorrhage
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摘要 目的:探讨早期肠内营养对老年脑出血患者预后的影响。方法将我院住院治疗的90例老年脑出血患者随机分为两组,观察组45例,对照组45例。观察组给予早期肠内营养,对照组给予肠外营养。比较不同营养方式支持前后,患者血糖(GLU)、电解质、血清白蛋白(ALb)、肝肾功能等血清生化指标的变化,进行疗效判定。结果观察组 ALb 明显升高,血糖、电解质、肝肾功能指标均优于对照组,两组差异有统计学意义(P 〈0.05)。结论早期肠内营养可有效改善老年脑出血患者营养不足的状况,防止电解质紊乱、免疫功能降低等不良预后。 Objective To investigate the effects of early enteral nutrition on Prognosis in elderly Patients with cerebral hemorrhage. Methods 90 elderly Patients with cerebral hemorrhage were randomly divided into observation grouP(n = 45)and control grouP(n = 45). Enteral nutrition was given to Patients in observation grouP,and Parenteral nutrition was given to Patients in control grouP. Serum biochemical indexes such as blood glucose(GLU),electrolytes, serum albumin(ALb),liver and renal function were comPared before and after nutritional suPPort. Results ALb sig-nificantly increased. GLU,electrolytes,liver and renal function indexes in observation grouP were better than those in control grouP. There were significant differences between the two grouPs(P 〈 0. 05). Conclusion Early enteral nutri-tion can imProve the status of undernutrition in elderly Patients with cerebral hemorrhage,which can Prevent Poor Prog-nosis such as electrolyte imbalance and decrease in immune function.
机构地区 天津市泰达医院
出处 《医学新知》 CAS 2014年第2期103-104,共2页 New Medicine
关键词 早期肠内营养 老年脑出血 预后 Early enteral nutrition Senile cerebral hemorrhage Prognosis
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  • 1张赛,杨树源,王明璐,杨卫东,杨学军,高之宪,孙伟,崔健忠.严重脑外伤急性期血糖变化的临床意义[J].中华创伤杂志,1994,10(1):2-4. 被引量:68
  • 2王之敏,惠国桢.早期胃肠外营养对重症脑外伤预后及氮代谢的影响[J].中华神经外科杂志,1995,11(6):344-347. 被引量:39
  • 3于明琨,张光霁,江基尧,朱诚,卢亦成,宋洋,吴光辉,姜正武.颅脑损伤后上消化道出血的高危因素分析[J].中华创伤杂志,1996,12(6):375-377. 被引量:69
  • 4Jones NF,Hayland DK.Implamenting nutrition guidelines in the critical care setting.A worthwhile and achievable goal?[J].JAMA,2008,300(23):2797-2799.
  • 5Nartindale RG,Meclave SA,Vanek VW,et al.Guidelines for provision and assessment of nutrition support in the adult critically ill patient.Society of critical care medicine and nutrition:Executive summary[J].Critical Care Med,2009,37(6):1757-1761.
  • 6Bankhead R,Boulata J,Branhey S.Enteral nutrition practice recommendation[J].JPEN,2009,33(2):122-167.
  • 7Doig GS,Simpson F,Finler S.Effect of evidence-based feeding guidelines on mortality of critically ill adults.A cluster randomized controlled trial[J].JAMA,2008,300(23):2731-2741.
  • 8杨镇."外科与循证医学".见:吴孟超,吴在德(主编)黄家驷外科学[M].7版,北京:人民卫生出版社,2008:33.
  • 9[6]Devlin JW,Claire KS,Dulchavsky SA,et al.Lmpact of trauma stress ulcer prophylaxis guidelines on drug cost and frequency of major gastrointestinal bleeding[J].Pharmacotberapy,1999,19:25.
  • 10Gilbride JA. Nutritional consideration for the stroke patient with dysphagia [J]. Top Stroke Rehabil, 1996, 3(3):51-59

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