Effect of early nutrition emulsion therapy on the prognosis and nutritional indicators of patients with severe cerebral hemorrhage
Feng Sun
Abstract
Feng Sun
Abstract
Objective: To investigate the early enteral nutritional emulsion(TPF) on the prognosis and nutrition indicators of patients with acute severe brain hemorrhage.Methods: 68 patients of acute severe cerebral hemorrhage accompanied with dysphagia were randomly divided into treatment group(n=33) and control group(n=35).On 24~72 h after admission,patients in treatment group were given nasogastric enteral nutrition support with TPF while the patients in control group were treated with general nasal feeding diet.Neurological scores of patients were tested by National Institutes of Health Stroke Scale(NIH Stroke Scale,NIHSS) at 2 d and 14 d after admission respectively,and the changes of nutritional indicators and the complication of pulmonary infection were observed simultaneously.Results: At 14 d,the NIHSS and incidence of lung infection in treatment group were significantly lower than those of the control group(P0.05),and the nutrition indicators in treatment group were also significantly improved than those of the control group.Conclusion: Early enteral nutritional support can improve the acute neurological function and nutrition indicator in patients with severe cerebral hemorrhage,and reduce the incidence of infectious complication as well.Therefore,it could be a safe and feasible way to treat the patients with severe cerebral hemorrhage.
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Objective: To investigate the early enteral nutritional emulsion(TPF) on the prognosis and nutrition indicators of patients with acute severe brain hemorrhage.Methods: 68 patients of acute severe cerebral hemorrhage accompanied with dysphagia were randomly divided into treatment group(n=33) and control group(n=35).On 24~72 h after admission,patients in treatment group were given nasogastric enteral nutrition support with TPF while the patients in control group were treated with general nasal feeding diet.Neurological scores of patients were tested by National Institutes of Health Stroke Scale(NIH Stroke Scale,NIHSS) at 2 d and 14 d after admission respectively,and the changes of nutritional indicators and the complication of pulmonary infection were observed simultaneously.Results: At 14 d,the NIHSS and incidence of lung infection in treatment group were significantly lower than those of the control group(P0.05),and the nutrition indicators in treatment group were also significantly improved than those of the control group.Conclusion: Early enteral nutritional support can improve the acute neurological function and nutrition indicator in patients with severe cerebral hemorrhage,and reduce the incidence of infectious complication as well.Therefore,it could be a safe and feasible way to treat the patients with severe cerebral hemorrhage.
Key concepts: Medicine, Parenteral nutrition, Incidence (geometry), Dysphagia, Complication, Modified Rankin Scale, Enteral administration, Internal medicine