Application of enteral nutrition sequential therapy in patients with severe cerebrovascular disease
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.issn.1671-0282.2018.08.011
   		
        
        	
        		- VernacularTitle:肠内营养序贯疗法在重症脑血管病的应用
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Juan ZHU
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Longan WANG
			        		
			        		;
		        		
		        		
		        		
			        		Lijie QIN
			        		
			        		;
		        		
		        		
		        		
			        		Xiangmei ZHAO
			        		
			        		;
		        		
		        		
		        		
			        		Weimin BAI
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 河南省人民医院急诊科
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Sequential therapy;
			        		
			        		
			        		
				        		Early enteral nutrition;
			        		
			        		
			        		
				        		Severe cerebrovascular disease
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Emergency Medicine
	            		
	            		 2018;27(8):872-875
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective To explore the role of clinical application of enteral nutrition sequential therapy in early enteral nutrition support by comparison with enteral nutrition non-sequential therapy in critically ill patients with cerebrovascular diseases.Methods A total of 62 patients were randomly (random number) divided into sequential group and conventional (non-sequential) grouThe comparisons of tolerance for enteral nutrition support,levels of prealbumin,the mechanically ventilated time and mortality rate in 28-day between two groups were carried out.Results The tolerance of sequential group was superior to that of conventional group (P<0.05).The higher level of prealbumin and the shorter mechanical ventilation time were observed in sequential group compared with conventional group (P<0.01).Compared with conventional group,the patients in sequential group had lower mortality rate in 28 days (P<0.05).Conclusions Sequential therapy is beneficial to the implementation of early enteral nutrition support in patients with severe cerebrovascular disease,reducing the nutritional adverse events,and improves the prognosis.