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目的:探讨急性脑卒中患者采用短肽型肠内营养制剂逐步过渡到含膳食纤维的整蛋白型肠内营养制剂的“序贯营养支持”疗法是否比单纯采用整蛋白型肠内营养制剂的“常规营养支持”疗法更有利于患者营养状况的改善。方法:将105例急性脑卒中伴吞咽障碍的患者随机分为研究组和对照组,研究组(采用“序贯营养支持”疗法)54例,对照组(采用“常规营养支持”疗法)51例。观察两组患者入院第1、7、14、21、28天时腹胀(与文章里的指标不同)、腹泻等消化道症状发生情况及营养状态(要写出指标)。结果:研究组入院第7、14天时的消化道症状发生率明显低于对照组,营养评定指标显著高于对照组;入院第21、28天时两组差异无统计学意义。结论:急性患者采用短肽型肠内营养制剂逐步过渡到含膳食纤维的整蛋白型肠内营养制剂的“序贯营养支持”疗法比单纯采用整蛋白型肠内营养制剂的“常规营养支持”疗法更有利于患者病后第1~2周时营养状况的改善。
OBJECTIVE: To investigate whether sequential sequential nutritional support therapy with short peptide enteral nutrition in patients with acute stroke gradually transits to enteral nutrition with dietary fiber as compared with simple sequential enteral nutrition The “conventional nutritional support ” therapy is more conducive to the improvement of nutritional status of patients. Methods: A total of 105 patients with acute stroke and swallowing disorder were randomly divided into study group (n = 54) and control group (n = 54) and control group (n = Therapy) 51 cases. Observe the incidence of digestive symptoms and nutritional status of diarrhea in the two groups on the 1st, 7th, 14th, 21st and 28th day of admission (to be different from the index in the article). Results: The incidence of gastrointestinal symptoms on the 7th and 14th day after admission was significantly lower in the study group than in the control group, and the nutritional assessment index was significantly higher than that in the control group. There was no significant difference between the two groups on the 21st and 28th day after admission. CONCLUSIONS: The “sequential nutritional support” therapy of short peptide enteral nutrition in patients with acute enterocolitis with dietary fiber is more effective than the “regular” Nutritional support "therapy is more conducive to patients with the first 1-2 weeks after the improvement of nutritional status.