Sequential enteral nutrition support for patients with severe cerebral stroke.
- Author:
Jiefang CHEN
1
;
Xudong HE
;
Lisan ZHANG
;
Xingyue HU
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Aged, 80 and over; Enteral Nutrition; methods; Female; Humans; Male; Middle Aged; Stroke; therapy
- From: Journal of Zhejiang University. Medical sciences 2013;42(6):671-675
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the efficacy of sequential enteral nutrition support in patients with severe cerebral stroke.
METHODSForty-nine patients with severe cerebral stroke met the inclusion criteria were randomly divided into sequential enteral nutrition group (Group A, n=24) and conventional enteral nutrition group (Group B, n=25). Patients in Group A received short-peptide-based enteral nutrition support first, then gradually transferred to intact protein enteral nutrition. Meanwhile, patients in Group B constantly received intact protein enteral nutrition support. The nutritional indexes and the rate of complications were compared between two groups.
RESULTSThe nutritional indexes were decreased in both groups within 4 weeks after admission, but the decreasing levels of hemoglobin and albumin in Group A were significantly lower than those in Group B (P<0.05), and the incidence of infections and gastrointestinal hemorrhage in Group A was also lower than that in Group B (P<0.05). However, there were no significant differences in body weight, BMI, triceps skinfold thickness, biceps circumference, arm muscle circumference between two groups (P>0.05).
CONCLUSIONSequential enteral nutritional support can improve the nutritional status and decrease the incidence of complications in critical patients with cerebral stroke.