目的 探讨肠内营养混悬液联合肠内营养粉剂对急性脑卒中患者的营养支持效果及腹泻并发症发生的情况。方法 收集扬州大学附属医院2023年1月至2024年6月收治的需要肠内营养支持治疗的急性脑卒中患者140例,随机分为联合组和对照组,每组70例,联合组使用肠内营养混悬液联合肠内营养粉剂支持治疗,对照组单纯予肠内营养混悬液支持治疗。观察两周营养支持过程中内营养指标和低蛋白血症、腹泻发生状况。结果 两组基线资料比较无统计学意义（P>0.05）,联合组和对照组低蛋白血症发生率无统计学意义,联合组腹泻发生率明显低于对照组（P<0.01）。结论 肠内营养混悬液联合肠内营养粉剂能够满足急性脑卒中患者的营养需求,能够降低腹泻发生率。
Abstract
Objective Investigate the nutritional support effects of different enteral nutrition regimens on patients with acute stroke and the occurrence of diarrhea complications. Methods A total of 140 patients with acute stroke who needed enteral nutrition support from January 2023 to June 2024 the Affiliated Hospital of Yangzhou University were randomly divided into combination group and control group, 70 cases in each group. The nutritional indexes, hypoproteinemia and diarrhea in the process of 2 weeks of nutritional support were observed. Results There was no statistically significant comparison between the baseline data of the two groups (P>0.05). The incidence of hypoproteinemia in the combined group and the control group was not statistically significant, and the incidence of diarrhea in the combined group was significantly lower than that in the control group (P<0.01). Conclusions Enteral nutrition suspension combined with enteral nutrition powder can meet the nutritional needs of patients with acute stroke and reduce the incidence of diarrhea.
关键词
肠内营养混悬液 /
肠内营养粉剂 /
急性脑卒中
Key words
Enteral nutrition suspension /
Enteral nutrition powder /
Acute Stroke
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参考文献
[1] 《中国脑卒中防治报告2021》编写组,王陇德. 《中国脑卒中防治报告2021》概要[J]. 中国脑血管病杂志,2023. 20(11):783-793.
[2] Sabbouh T,Torbey MT.Malnutrition in Stroke Patients:Risk Factors, Assessment,and Management[J]. Neurocrit Care,2018,29(3):374-384.
[3] Nii M,Maeda K,Wakabayashi H,et al.Nutritional Improvement and Energy Intake Are Associated with Functional Recovery in Patients after Cerebrovascular Disorders[J]. J Stroke Cerebrovasc Dis,2016,25(1):57-62.
[4] 中华医学会肠外肠内营养学分会. 中国成人患者肠外肠内营养临床应用指南(2023版)[J]. 中华医学杂志,2023,103(13):946-974.
[5] Ojo O,Brooke J.The Use of Enteral Nutrition in the Management of Stroke[J]. Nutrients,2016,8(12):827.
[6] 中国卒中营养标准化管理专家委员会. 中国卒中营养标准化管理专家共识[J]. 中国卒中杂志,2020,15(6):681-689.
[7] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组. 中国重症卒中管理指南2024[J]. 中华神经科杂志,2024. 57(7):698-714.
[8] 米元元,黄海燕,尚游,等. 中国危重症患者肠内营养治疗常见并发症预防管理专家共识(2021版)[J]. 中华危重病急救医学,2021,33(8):903-918.
[9] 何萍,倪健强,王辉,等. 脑梗死后鼻饲病人发生腹泻的相关因素分析[J]. 肠外与肠内营养,2016,23(3):143-145,149.
[10] Gungabissoon U,Hacquoil K,Bains C,et al.Prevalence, risk factors, clinical consequences,and treatment of enteral feed intolerance during critical illness[J]. JPEN J Parenter Enteral Nutr,2015,39(4):441-448.
[11] 赵娅欣,赵临凯,杜欣洁,等. SIBR模式对脑卒中经鼻胃管肠内营养患者腹泻及营养状况的影响[J]. 中华现代护理杂志,2022,28(31):4382-4387.
[12] 沈钺,张艳秋,孟庆艳. 急性脑卒中合并吞咽困难患者肠内营养支持治疗的临床研究[J]. 中华护理杂志,2009,44(9):802-804.
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