Application of early enteral nutrition combined with supplementary parenteral nutrition in acute ischemic stroke elderly patients with mechanical embolectomy
10.3760/cma.j.issn.1674-2907.2018.18.005
- VernacularTitle:早期肠内营养联合补充性肠外营养在老年急性缺血性脑卒中机械取栓术患者中的应用
- Author:
Jingmi WU
1
;
Haofen XIE
;
Jianhong YANG
;
Yi HUANG
;
Bo FENG
Author Information
1. 315010,波市第一医院神经外科
- Keywords:
Aged;
Stroke;
Enteral nutrition;
Supplementary parenteral nutrition;
Mechanical embolectomy
- From:
Chinese Journal of Modern Nursing
2018;24(18):2128-2131
- CountryChina
- Language:Chinese
-
Abstract:
Objective?To explore the effects of early enteral nutrition (EEN) combined with supplementary parenteral nutrition (SPN) in acute ischemic stroke elderly patients after mechanical embolectomy. Methods?From October 2015 to June 2017, we retrospectively collected 35 acute ischemic stroke elderly patients treated with nutritional support after mechanical embolectomy. All of the patients were divided into alone EEN group (n=9) and EEN+SPN group (n=26) according to whether to accept SPN or not. We analyzed the clinical data and curative effects, and summarized nutritional monitoring indexes such as the hemoglobin (HGB), total protein (TP), total lymphocyte count (TLC), serum albumin (ALB) before and one, two weeks after surgery and compared the incidence of complications such as pulmonary infection, diarrhea, gastrointestinal hemorrhage as well as average hospital day, hospitalization expenses, outcome of disease. Results?There were 24 patients who were cured and discharged from hospital and two patients who were fatal in EEN+SPN group. There were 9 patients who were cured and discharged from hospital. There was no significant difference in HGB, TP, TLC, ALB between two groups before and after surgery (P＞0.05). The difference in ALB of EEN group two weeks after surgery was significant which was compared with that before surgery (P＜0.05). The incidence of pulmonary infection, diarrhea, gastrointestinal hemorrhage of EEN+SPN group was 65.38%, 19.23%, 11.54% respectively with no significant difference with those of EEN group (P＞0.05). There was no significant difference in average hospital day and hospitalization expenses between EEN+SPN group [(22.94±12.91)d, (12.53±4.98) ten thousand yuan, respectively]and EEN group (P＞ 0.05). Conclusions?The application of alone EEN in acute ischemic stroke elderly patients after mechanical embolectomy may easily cause that the level of ALB decreases. The EEN+SPN may be applied according to patient's condition so as to prevent hypoproteinemia and improve the nutritional state.
