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目的:观察EEN支持对急性脑卒中伴吞咽困难病人预后的影响。方法:将82例急性脑卒中伴吞咽困难病人随机分为治疗组和对照组,于入院后48 h内给予鼻饲,治疗组病人给予EN制剂,对照组病人给予自制匀浆膳食。观察两组病人4周后血浆ALB、Hb、感染并发症的发生率和NIHSS评分的变化。结果:治疗4周后,治疗组病人Hb、ALB水平明显高于对照组;感染并发症发生率低于对照组;NIHSS评分明显优于对照组。结论:EEN支持可改善急性脑卒中伴吞咽困难病人的营养状况,减少感染机会,改善预后。
Objective: To observe the effect of EEN support on the prognosis of acute stroke patients with dysphagia. Methods: A total of 82 acute stroke patients with dysphagia were randomly divided into treatment group and control group. Nasal feeding was given within 48 hours after admission. Patients in treatment group were given EN preparation, and patients in control group were given homemade homogenate diet. The changes of plasma ALB, Hb, infection complication rate and NIHSS score were observed after 4 weeks in both groups. Results: After 4 weeks of treatment, the levels of Hb and ALB in the treatment group were significantly higher than those in the control group. The incidence of infection complication was lower than that of the control group. The NIHSS score was significantly better than that of the control group. Conclusion: EEN support can improve nutritional status of acute stroke patients with dysphagia, reduce the chance of infection and improve prognosis.