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.