2011输注泵持续肠内营养对重症脑卒中患者预后分析.docVIP

输注泵持续肠内营养对重症脑卒中患者预后分析 蔡桂兰 董静 赵素梅 江苏省苏北人民医院神经内科（江苏 扬州 225001） 【摘要】　目的 探讨输注泵持续肠内营养对重症脑卒中患者预后影响。方法 选择符合纳入标准的患者80例,分为输注泵持续肠内营养组（实验组）和传统经鼻胃管鼻饲组（对照组），比较两种早期肠内营养方式患者同期内营养状况和并发症的发生率。结果 治疗后第7天、第14天肠内营养实验组各项营养指标显著高于对照组(均PO．05)；肠内营养实验组NIHSS评分显著低于对照组，Barthel指数(BI)评分，实验组显著高于对照组；实验组的并发症发生率(22.5％)显著低于对照组(42.5％)(Po．05)。结论 输注泵持续肠内营养支持能有效地减少并发症，能够达到满意的肠内营养疗效，且疗效优于传统经鼻胃管鼻饲。 【关键词】　重症脑卒中 肠内营养 输注泵 Prognosis analysis of gastrointestinal nutrition by continue pump on critical patients suffering from Stroke Cai Gui lan (the Department of Neurology, the Clinical Medical College of Yangzhou University, 225001， China ) 【Abstract】Subject: To study the impact of gastrointestinal nutrition by continue pump on severe stroke patients .Methods: We choose 80 patients and divided them into experimental group who were given gastrointestinal nutrition by continue pump and control group who were given nutrition by traditional nasal feeding. Comparer the nutritional status and the incidence of complications of the two groups. Results: The nutrition indexes of the experimental group are much better than the indexes of the control group(P0.05) at the 7th day and the 14th day after treatment. The NIHSS scores of the experimental group are much lower than the scores of the control group. The Barthel scores of the experimental group are much higher than the scores of the control group. The incidence of complications of the experimental group(22.5%) is much lower than the control group(42.5%). Conclusion: Gastrointestinal nutrition by continue pump can effectively reduce the incidence of complications and achieve the result of better gastrointestinal nutrition. It is better than traditional nasal feeding. 【Key words】 Severe Strokes ,Enteral nutrition, pump 重症脑卒中患者由于多有意识丧失或吞咽困难，不能自行进食，早期肠内营养不仅为患者提供营养支持，在临床上更重要的可作为预防并发症的一种手段。我科2009年9月至2010年8月将入选的80例脑卒中患者随机分为输注泵持续肠内营养组（以下称为实验组）和传统经鼻胃管鼻饲组（以下称为对照组），比较两种早期肠内营养方式患者营养状况和并发症的发生率。 1 资料与方法 1.1 临床资料 选择2009年9月至2010年8月江苏省苏北人民医院神经内科治疗的所有符合研究的急性重症脑卒中患者80例，均符合第4届全国脑血管病学术会议