维吾尔族患者急性脑卒中早期肠内营养时机选择(1)
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[摘要] 目的 探讨维吾尔族患者急性脑卒中患者合并吞咽困难早期给予营养支持的最佳时机选择及对预后的影响。方法 将130例维吾尔族与汉族明确诊断为急性脑卒中(无外科手术指标)合并吞咽困难的患者按民族分成维吾尔族组与汉族组，维吾尔族1组(实验组)急性脑卒中5天后给予肠内营养，维吾尔族2组(对照1组)急性脑卒中7天后给予肠内营养，汉族组(对照2组)急性脑卒中7天后给予鼻饲肠内营养，治疗3周对三组患者并发症及实验室指标进行对比研究。结果 三组患者均有死亡、呼吸道感染等并发症，但无统计学意义(P>0.05)。实验室指标：血红蛋白、血清白蛋白、血清总胆固醇等均无明显改变，差异无统计学意义(P>0.05)。结论 维吾尔族急性脑卒中伴吞咽困难患者5天后早期给予肠内营养支持与7天后无统计学意义。维吾尔族与汉族的民族差异无统计学意义。维吾尔族患者在急性脑卒中5天后给予肠内营养疗效肯定。
[关键词] 民族；急性脑卒中；肠内营养
[中图分类号] R743.3 [文献标识码] B [文章编号] 1673-9701(2011)34-120-02
Clinical Study on the Timing of Early Enteral Nutrition in Uygur Patients with Acute Stroke
DU Huaiwen1 LI Wenge2 MA Junzhuang2
1.Department of Neurology，Nong Yi Shi Hospital of Xinjiang Production and Construction Corps，Aksu 843000，China；2.Department of the Special Ward，Nong Yi Shi Hospital of Xinjiang Production and Construction Corps，Aksu 843000，China
[Abstract] Objective To study the timing and the effect on prognosis of early enteral nutrition in Uygur patients with dysphagia after acute stroke. Methods All 130 Uygur and Han patients with dysphagia after acute stroke(no Surgical indications)were divided into 3 groups：Uygur group 1 (experimental group)：enteral nutrition was provided 5 days after acute stroke，Uygur group 2 (control group 1)and Han group(control group 2)：enteral nutrition was provided 7 days after acute stroke. Complications and laboratory parameters of patients were studied three weeks after treatments. Results Numbers of deaths and respiratory infections were found in all three groups，but having no statistical significance(P>0.05). There was not a statistical significance of the difference of hemoglobin，serum albumin and serum levels of total cholesterol(P>0.05). There was not a statistical significance between Uygur group 1 and Uygur group 2. There was not a statistical significance between Uygur and Han groups. Conclusion The therapeutic effect of enteral nutrition provided 5 days after acute stroke in Uygur patients is positive.
[Key words] Nationality；Acute stroke；Enteral nutrition
我院地处边疆，为多民族杂居区，不同民族身体素质、饮食习惯、文化差异较大，急性脑卒中患者年发病率高，许多患者合并吞咽困难，饮水发呛，极易因误吸导致肺部感染、营养不良，严重影响患者预后 ......
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