Research on Relationship between Early Enteral Nutritional Support and Short - term Prognosis after Acute Stroke
Wang Shao-sh
Abstract
Wang Shao-sh
Abstract
Objective To discuss the effects of early enteral nutritional support on the nutrition status,infective com- plications and the neurological deficit rehabilitation after acute stroke.Methods Total 76 patients with dysphagia were random- ized into experimental group and control group and received enteral nutritional.Experimental group included 38 patients who re- ceived nasogastric tube within 72h after admission,and others in control group received nasogastric feeding after more than 10 d. We observed the levels of serum albumin,prealbumin and haemoglobin at 21 d and Barthel index at 60 d in both groups,the neurological deficit rehabilitation and infective complications of the two groups were also compared.Results After 21 d,the levels of serum albumin,prealbumin and haemoglobin in experimental group were significantly higher than those in control group; the incidence of infective complications in experimental group was significantly lower than in control group;but the Barthel index at 60 d was not statistically different between the two groups. Conclusions Early nutritional support is helpful for increasing the nutrition status and the clinical outcome and reducing the frequency of infective complication in stroke patients with dysphagia.
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Objective To discuss the effects of early enteral nutritional support on the nutrition status,infective com- plications and the neurological deficit rehabilitation after acute stroke.Methods Total 76 patients with dysphagia were random- ized into experimental group and control group and received enteral nutritional.Experimental group included 38 patients who re- ceived nasogastric tube within 72h after admission,and others in control group received nasogastric feeding after more than 10 d. We observed the levels of serum albumin,prealbumin and haemoglobin at 21 d and Barthel index at 60 d in both groups,the neurological deficit rehabilitation and infective complications of the two groups were also compared.Results After 21 d,the levels of serum albumin,prealbumin and haemoglobin in experimental group were significantly higher than those in control group; the incidence of infective complications in experimental group was significantly lower than in control group;but the Barthel index at 60 d was not statistically different between the two groups. Conclusions Early nutritional support is helpful for increasing the nutrition status and the clinical outcome and reducing the frequency of infective complication in stroke patients with dysphagia.
Key concepts: Medicine, Dysphagia, Transthyretin, Incidence (geometry), Parenteral nutrition, Rehabilitation, Barthel index, Complication