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肠内营养对急性脑卒中伴吞咽障碍患者短期预后的影响

代允义 路文革 张建平 陈黎亚 刘春霞 田东梅

中国实用神经疾病杂志2016,Vol.19Issue(6):12-14,3.
中国实用神经疾病杂志2016,Vol.19Issue(6):12-14,3.

肠内营养对急性脑卒中伴吞咽障碍患者短期预后的影响

The effect of enteral nutrition on short-term prognosis in acute stroke patients with dysphagia

代允义 1路文革 1张建平 1陈黎亚 2刘春霞 1田东梅1

作者信息

  • 1. 河南商丘市第一人民医院 神经内科 商丘 476100
  • 2. 河南商丘市第一人民医院 营养科 商丘 476100
  • 折叠

摘要

Abstract

Objective To investigate the effect of enteral nutrition(EN) on short-term prognosis in acute stroke patients with dysphagia.Methods Totally 86 acute stroke cases with dysphagia were divided into study group and control group,43 cases in each group.The study group received enteral nutrition and the control group received traditional family feeding.Then patients' nutritional status,incidence of infection,and the national institute of health stroke scales(NIHSS) were compared in the two groups on the 21st day.Results On the 21st day,the nutritional parameters,such as serum albumin,prealbumin,haemoglobin,upper-arm muscular circumference in the study group,were better than those in the control group with statistical differences(P<0.05).The concurrent infection rate was 27.9 %in the study group and 53.5 % in the control group,and the difference between the two groups was statistically significant(P<0.05).In addition,the NIHSS scores in the experimental group (11.13±2.03) were significantly lower than those in the control group(15.35±2.76)(P<0.05).Conclusion For acute stroke patients with dysphagia,early enteral nutrition could improve the nutritional status,reduce the incidence of infection and improve the neurological deficit scores as well as the short-term prognosis.

关键词

肠内营养/急性脑卒中/吞咽障碍/短期预后

Key words

Enteral nutrition/Acute stroke/Dysphagia/Short-term prognosis

分类

医药卫生

引用本文复制引用

代允义,路文革,张建平,陈黎亚,刘春霞,田东梅..肠内营养对急性脑卒中伴吞咽障碍患者短期预后的影响[J].中国实用神经疾病杂志,2016,19(6):12-14,3.

中国实用神经疾病杂志

1673-5110

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