Efficacy of enteral nutrition regimen for critically ill patients in neurology department
肠内营养治疗方案应用于神经内科危重症患者中的应用疗效

摘要

目的 实施神经内科危重症患者的肠内营养治疗方案，并对应用效果展开评价。方法 病例是神经内科危重症患者，样本量90例。研究时间2021年1月到2022年1月。45例入组参照组，进行常规营养治疗；45例入组肠内营养治疗组，实施肠内营养治疗方案。研究治疗前、治疗10d后的血清白蛋白（ALB）浓度、前白蛋白（PA）浓度、总蛋白（TP）浓度、血红蛋白（Hb）浓度、营养不良发生率、并发症发生率。结果 肠内营养治疗组的血清ALB浓度、PA浓度、TP浓度、Hb浓度均更高（p＜0.05）。肠内营养治疗组的营养不良发生率更低（p＜0.05）。肠内营养治疗组的并发症发生率更低（p＜0.05）。结论 将肠内营养治疗方案用于神经内科危重症患者，对于改善患者营养指标，避免营养不良发生，促使并发症发生率降低而言，可发挥更显著的治疗价值。

Abstract

Objective To implement the enteral nutrition treatment program for critically ill patients in neurology department, and evaluate the application effect.
Methods Patients were critically ill in neurology depart- ment with a sample size of 90 cases. The study lasted from January 2021 to January 2022. 45 cases were enrolled into the control group and received routine nutritional therapy. Forty-five cases were enrolled into enteral nutrition treatment group and implemented enteral nutrition treatment program. The serum albumin (ALB) concentration, prealbumin (PA) concentration, total protein (TP) concentration, hemoglobin (Hb) concentration, the incidence of malnutrition and the incidence of complications were studied before and after treatment for 10 days.
Results The concentrations of ALB, PA, TP and Hb were higher in enteral nutrition treatment group (P<0.05). The incidence of malnutrition was lower in enteral nutrition treatment group (P<0.05). The incidence of complications was lower in enteral nutrition group (P<0.05).
Conclusion   Enteral nutrition therapy for critically ill patients in neurology depart- ment can play a more significant therapeutic value in improving the nutritional indicators of patients, avoiding the occurrence of malnutrition and reducing the incidence of complications.