保健医学研究与实践2026，Vol.23Issue(7)：9-15,7.DOI:10.11986/j.issn.1673-873X.2026.07.02
基于营养支持程序和模型的营养管理方案对脑梗死患者神经功能和运动功能的影响
Effect of a nutrition management program based on the Nutrition Support Process and Model on neurologi-cal function and motor function in patients with cerebral infarction
摘要
Abstract
Objective To investigate the effect of a nutrition management program based on the Nutrition Support Process and Model on neurological function and motor function in patients with cerebral infarction,so as to provide clinical reference for individualized and continuous nutrition management during the rehabilitation phase of cerebral infarction patients.Meth-ods A total of 240 patients with cerebral infarction admitted to the Affiliated Chuzhou Hospital of Anhui Medical Universi-ty from January 2022 to January 2025 were selected and assigned to an observation group and a control group using a random number table method,with 120 patients in each group.Both groups received the same rehabilitation training;the control group received routine nutritional guidance,while the observation group received systematic nutrition management based on the Nutrition Support Process and Model.The National Institutes of Health Stroke Scale(NIHSS)scores,Fugl-Meyer As-sessment(FMA)scores,modified Barthel Index(MBI)scores,as well as nutritional indicators and immune indicators,were compared between the two groups before and after intervention.Results Before intervention,there were no statistical-ly significant differences in NIHSS,FMA,and MBI scores between the two groups(P>0.05).After 6 months of interven-tion,NIHSS scores in both groups were lower than those before intervention,with the observation group lower than the control group;FMA scores and MBI scores in both groups were higher than those before intervention,with the observation group higher than the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no statistically significant differences in albumin(ALB),prealbumin(PAB),hemoglobin(Hb),transferrin(TRF),and prognostic nutritional index(PNI)levels between the two groups(P>0.05).After 6 months of intervention,ALB,PAB,Hb,TRF,and PNI levels in both groups were higher than those before intervention,and the levels in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Before intervention,there were no statistically significant differences in immunoglobulin A(IgA)and immunoglobulin G(IgG)levels between the two groups(P>0.05).After 6 months of intervention,IgA and IgG levels in both groups were higher than those be-fore intervention,and the levels in the observation group were higher than those in the control group,with statistically sig-nificant differences(P<0.05).No statistically significant differences were observed in immunoglobulin M(IgM)levels be-tween the two groups before intervention or after 6 months of intervention(P>0.05).The incidence of adverse events dur-ing the intervention period in the observation group was significantly lower than that in the control group(5.00%[6/120]vs.18.33%[22/120];χ2=10.350,P<0.001).Conclusion The systematic nutrition management program based on the Nutrition Support Process and Model can markedly improve the nutritional status and immune function of patients with cere-bral infarction,and effectively promote the recovery of neurological function and motor function.关键词
脑梗死/营养管理/营养支持程序和模型/神经功能/运动功能/营养风险筛查/免疫功能/康复效果Key words
Cerebral infarction/Nutrition management/Nutrition Support Process and Model/Neurological function/Motor function/Nutritional risk screening/Immune function/Rehabilitation effect分类
医药卫生引用本文复制引用
朱虹雨,胡选青,许庆,朱培婷,彭冉,朱敏,陈满萍..基于营养支持程序和模型的营养管理方案对脑梗死患者神经功能和运动功能的影响[J].保健医学研究与实践,2026,23(7):9-15,7.基金项目
安徽省自然科学基金项目(2008085QH123) （2008085QH123）
安徽医科大学青年科学项目(2022xk_j083) （2022xk_j083）
皖南医学院校级科研项目(WK2024JXYY025). （WK2024JXYY025）
