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ICU高龄脑出血患者肠内营养支持治疗效果观察

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目的:对重症监护室中高龄脑出血患者实施肠内营养支持治疗的临床疗效进行探讨。方法:选取我院2012年12月至2013年12月收治的脑出血患者64例进行研究,将患者随机分为观察组32例,给予肠内营养支持治疗,对照组32例,给予肠外营养治疗。在治疗前后,对患者的各项生化指标进行检测对比,对疗效进行判断。结果:观察组血清白蛋白明显升高,血糖及ALT明显降低,两组对比差异显著,P<0.05。从治疗有效性来看,观察组32例患者中,26例治疗有效,有效率为81.25%;对照组32例患者中,16例治疗有效,有效率为50.0%,两组比较差异显著,P<0.05,具有统计学意义。结论:采用肠内营养支持疗法能够降低营养底物不足,调节细胞代谢,降低了器官功能障碍的发生。因此,在治疗高龄脑出血患者中是一种值得推广的治疗方法。
Objective: the ICU elderly cerebral hemorrhage patients with enteral nutrition support treatment clinical curative effect of. Methods: the study was performed in 64 patients in our hospital from 2012 December to 2013 December were cerebral hemorrhage, the patients were randomly divided into observation group of 32 cases, enteral nutrition support therapy, 32 cases in the control group, treated with parenteral nutrition treatment. compared the biochemical indexes were detected in patients. Results: in the observation group, serum albumin increased, blood glucose and ALT were significantly lower, differences between two groups was significant, P < 0.05. From the effectiveness of treatment, the observation group 32 cases, effective in 26 patients, the effective rate was 81.25%; the control group of 32 patients, 16 cases effective, efficiency is 50%, the difference between the two groups was significant, P < 0.05, with statistical significance. Conclusion: regulation of cellmetabolism, reducing the occurrence of organ dysfunction. Therefore, in the treatment of elderly patients with cerebral hemorrhage is a recommendable therapy.

朱思良

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山东省滕州市中心人民医院重症医学科 277500

ICU 老年人 脑出血 肠内营养支持

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(13)
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