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Effect of early enteral nutrition with nutritional status and outcomes for ischemic stroke with dysphagia |
MA Feng-lan |
Department of Nutriology,the First People′s Hospital of Shenyang City in Liaoning Province,Shenyang110041,China |
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Abstract Objective To investigate the effect of early enteral nutrition with nutritional status and outcomes for ischemic stroke with dysphagia.Methods 80 cases of ischemic stroke patients with dysphagia in our hospital from December 2012 to December 2015 were divided into two groups according to the order of admission,each 40 cases.The observation group were implemented with early enteral nutrition,the control group were implemented with gastrointestinal nutrition.The drinking water recovery time,food mouth recovery time,BMⅠ,waist circumference and hip circumference, lipid metabolism,NFⅠrates and life of quality rates(QOL rates)were compared.Results The drinking recovery time in the observation group was(15.8±1.1)days,it was shorter than(32.5±3.9)days of control group(P<0.01);the oral feeding recovery time in the observation group was(28.9±6.1)days,it was shorter than(46.9±10.2)days of control group(P<0.01);the BMⅠin the observation group was(24.5±1.0)kg/m2,waist circumference in the observation group was(93.7±2.1)cm,hip circumference in the observation group was(96.7±3.4)cm,they were higher than(22.3±1.1)kg/m2,(89.7±1.6)cm and(94.6±3.2)cm in the control group(P<0.01);the total cholesterol in the observation group was(4.3±0.3)mmol/L and triglycerides in the observation group was(1.3±0.1)mmol/L,they were higher than(3.9±0.2)mmol/L and(1.2±0.1)mmol/L of control group (P<0.01);after the intervention NFⅠscore in the observation group was(24.1±1.1)points and QOL score was(11.2±0.6) points,they were significantly lower than(39.5±2.4)points and(18.5±1.3)points of control group(P<0.01).Conclusion For patients with ischemic stroke,early enteral nutrition can improve swallowing function,improve the body lipid content,promote recovery of neurological function,and improve life quality.Ⅰt has important value.
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[1] |
常丽宁.急性脑卒中伴吞咽困难患者早期肠内营养支持的临床探讨[J].中国社区医师,2013,15(7):28.
|
[2] |
代允义,路文革,张建平,等.肠内营养对急性脑卒中伴吞咽障碍患者短期预后的影响[J].中国实用神经疾病杂志,2016,19(6):12-14.
|
[3] |
张辉.肠内与肠外营养在脑卒中早期营养支持中的应用及效果对比[J].吉林医学,2013,34(36):7608-7609.
|
[4] |
陈晓红,戴妙霞,何婷.不同胃肠营养支持方式对脑卒中吞咽困难患者的临床疗效观察[J].心脑血管病防治,2016,16(1):38-39.
|
[5] |
栗晓宏,张燕青.急性脑卒中后吞咽障碍患者早期肠内营养支持的临床分析[J].中西医结合心脑血管病杂志,2014,12(6):771-772.
|
[6] |
鲍智颖,钟小兵,康平.急性脑卒中伴吞咽困难患者早期肠内营养支持的临床研究[J].中国当代医药,2013,20(30):45-46.
|
[7] |
居才香.脑卒中鼻饲病人肠内营养支持联合吞咽康复训练的护理[J].全科护理,2014,12(34):3229-3231.[8]卞鸿雁.脑卒中后吞咽困难患者早期肠内营养护理的研究进展[J].当代护士,2015,(10):12-14.
|
[9] |
张丽,林兴建,陈道文,等.脑卒中并发吞咽功能障碍老年病人肠内营养支持的临床研究[J].肠外与肠内营养,2014,21(5):292-297.
|
[10] |
詹青,王丽晶.急性缺血性脑卒中早期康复的时机与策略[J].神经病学与神经康复学杂志,2016,12(1):1-7.
|
[11] |
王雪菲.脑卒中患者吞咽障碍评估和营养支持护理体会[J].中国实用神经疾病杂志,2014,17(12):123-125.
|
[12] |
王四安,卢爱丽.脑卒中患者早期胃肠内营养支持的临床观察[J].中国中医急症,2014,23(6):1047-1049.
|
[13] |
金鹤.脑卒中后吞咽障碍患者的康复护理[J].当代护士,2014,(6):16-18.
|
[14] |
凌卫仙,欧小凡.脑卒中患者吞咽障碍评估和营养支持护理体会[J].护士进修杂志,2013,28(12):1126-1128.
|
[15] |
张蓓,李怀苏,兰琳.早期肠内营养对急性脑卒中合并吞咽困难患者康复的影响[J].实用医院临床杂志,2015,12(3):112-114.
|
[16] |
杨冬梅,梁玉侠.脑卒中早期肠内营养支持的护理[J].中国医药指南,2014,12(27):309-310.
|
[17] |
宋立红.早期肠内营养对急性脑卒中后吞咽障碍患者预后的影响[J].中国实用神经疾病杂志,2016,19(6):26-27.
|
[18] |
徐佳.早期肠内营养对重症脑卒中患者免疫功能的影响[J].临床医药文献杂志,2016,3(7):1313-1314.
|
|
|
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