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营养支持方案对老年 CI 患者胃肠功能、并发症发生率和预后的影响

Influence of Nutritional Support Program on Gastrointestinal Function, Complication Rate, and Prognosis in Elderly Sufferers with CI.

机构信息

Medical Experimental Center of Medical College, Jishou University, Xiangxi 416000, China.

Department of Critical Care Medicine, Changde Fourth People's Hospital, Changde 415000, China.

出版信息

Biomed Res Int. 2022 Jul 23;2022:3198272. doi: 10.1155/2022/3198272. eCollection 2022.

Abstract

To explore the effect of nutritional support program on gastrointestinal function, complication rate, and prognosis in elderly patients with cerebral infarction (CI), 200 elderly patients with CI from January 2020 to January 2021 are investigated in this study. The patients were randomly divided into a study set and a control group, with 100 cases in each set. All sets were given routine treatment, the control set was given parenteral nutrition support on a routine basis, and the study set was given enteral nutrition support on a routine basis. First, the clinical efficacy of the two sets after treatment was compared. Next, the constipation symptom score was adopted to compare the intestinal function of the two sets of patients before and after one month of treatment. The nutritional indicators, including serum albumin (ALB) and serum total protein (TP) levels, were compared between the two sets of patients before and after one month of treatment. Furthermore, the complications of the two sets of patients and the prognosis of the two groups of patients are analyzed. For elderly CI patients, enteral nutrition support therapy can significantly improve the clinical treatment effect, the gastrointestinal function, and nutritional index level. Also, it can reduce the incidence of complications and enhance the prognosis, survival rate, and quality of life.

摘要

为了探讨营养支持方案对老年脑梗死(CI)患者胃肠功能、并发症发生率和预后的影响,本研究调查了 200 例 2020 年 1 月至 2021 年 1 月期间的老年 CI 患者。患者被随机分为研究组和对照组,每组 100 例。所有组均给予常规治疗,对照组给予常规肠外营养支持,研究组给予常规肠内营养支持。首先,比较两组治疗后的临床疗效。接下来,采用便秘症状评分比较两组患者治疗前后一个月的肠道功能。比较两组患者治疗前后一个月的营养指标,包括血清白蛋白(ALB)和血清总蛋白(TP)水平。此外,分析两组患者的并发症和两组患者的预后。对于老年 CI 患者,肠内营养支持治疗可显著提高临床治疗效果、胃肠功能和营养指标水平。还可以降低并发症发生率,增强预后、生存率和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c64f/9338853/241bc785e528/BMRI2022-3198272.001.jpg

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