Objective: To Research the treatment effect of enteral and parenteral nutrition for the severe acute stroke patients. Method: Select 60 cases of the acute severe stroke patients, divided randomly them into group A , B , C , Group A were given enteral nutrition, Group B were given parenteral nutrition, Group C given enteral and parenteral nutrition. Compared the nutritional status, incidence of complications. Result: The level of albumin and hemoglobin of group C was higher than group A and group B, the difference was statistically significant ( P<0. 05 ). The complication rate of group C ( 15. 00% ) was lower than group A ( 25. 00% ) and group B ( 50. 00% ) ,the difference among the three groups was statistically significant( X2 = 6. 15,P<0.05 ). Conclusion: The treatment of enteral and parenteral nutrition can improve the nutritional status, reduce the complication rate of the severe acute stroke patients, significantly improved the prognosis of patients.%目的:研究肠内外联合营养支持对急性重症脑卒中患者的临床治疗效果.方法:选取我院60例急性重症脑卒中患者,随机分成A、B、C三组,A组予肠内营养支持,B组予肠外营养支持,C组予肠内外联合营养支持治疗.比较3组患者营养状况、并发症发生率.结果:肠内外联合营养支持患者白蛋白和血红蛋白水平升高较单纯肠内营养支持及肠外营养支持明显,差别有统计学意义(P<0.05).肠内外联合营养支持组患者并发症发生率15.00%明显低于单纯肠内营养组25.00%及肠外营养组50.00%,三组间差异有统计学意义(X2=6.15,p<0.05).结论:肠内外联合营养支持能有效改善急性重症脑卒中患者营养状况,降低患者感染及胃肠道并发症发生率,明显改善患者预后.
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