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《Chinese Journal of Practical Nervous Diseases》 2015-17
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The short-term prognosis observation of early enteral nutrition combined with parenteral nutrition in the treatment of the severe acute stroke

Liang Jingjing;Department of Neurology,the People's Hospital of Emeishan city;  
Objective To explore the short-term prognosis observation of early enteral nutrition combined with parenteral nutrition in treatment of the severe acute stroke.Methods 99 cases with acute severe acute stroke from September 2012 to January 2014 were selected and randomly divided into observation group and control group 1and the control group 2,and 33 cases in each group according to the random number table method.The observation group received early enteral nutrition combined with parenteral nutrition,the control group 1received early enteral nutrition,the control group 2received conventional family feeding for 21 days.The nutritional status,the incidence of the malnutrition,infection,mortality,the nerve function defect(NIHSS score),daily life ability(ADL score)and degree of disability(mRS score)in the three groups were observed and compared before and after treatment.Results The each nutrition index of the three groups after treatment were decreased compared with before treatment,the control group 2had the greatest reduction,the control group 1took second place,the observation group decreased slightly,the difference had statistically significance(P0.05);All of the malnutrition rate,infection incidence,the mortality and the NIHSS scores in the observation group,control group 1and control group 2after treatment showed statistical differences(χ2=15.628,11.972,15.628,F= 7.934,P=0.006,0.007,0.007,0.009);The ADL scores of the three groups had no statistical differences(P0.05);The constituent ratios of 0~1 mRS score,2~3 mRS scores in the three groups after treatment had no statistical difference(P0.05),while 4~5mRS scores had a statistically significant difference(χ2=7.630,P=0.019).Conclusion Early enteral nutrition combined with parenteral nutrition can obviously improve the nutritional status in patients with acute severe stroke,reduce the infection incidence and improve the shortterm prognosis.
【CateGory Index】: R743.3
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