文章摘要
王海英.自制匀浆膳对脑卒中患者营养支持的疗效观察[J].实用中西医结合临床,2011,(1):45-46
自制匀浆膳对脑卒中患者营养支持的疗效观察
  
DOI:
中文关键词: 脑卒中  匀浆膳  营养支持
英文关键词: Stroke  Homogenized diet  Nutritional support
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作者单位
王海英 广东省广州市中医医院 
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中文摘要:
      目的:观察自制匀浆膳对脑卒中患者营养支持的疗效。方法:选取在我院住院的脑卒中患者35例进行研究,分别在应用匀浆膳前及使用后第14天、第21天对患者进行营养状况的监测,测定三头肌皮褶厚度(TSF)、上臂围(MAC)、上臂肌围(AMC),并抽血查总淋巴细胞计数(Lym) 、红细胞计数(RBC) 、血红蛋白(Hb) 、血清总蛋白( TP) 、血清白蛋白(ALB) 、前清蛋白( PA)、谷丙转氨酶(ALT)、谷草转氨酶(AST)、总胆红素(TB)、直接胆红素(DB)、肌酐(CR)、尿素氮(BUN)。结果:营养支持后患者血清TSF、MAC、AMC较前明显改善,差异有显著性(P <0.05);白蛋白、前白蛋白、血红蛋白、红细胞总数均较前明显改善,差异有显著性(P <0.05);淋巴细胞总数与营养支持前比较,差异无显著性(P >0.05);ALT、AST、BUN、CR、TB、DB与营养支持前比较差异无显著性(P >0.05)。结论:自制匀浆膳可明显改善脑卒中患者的营养状况,且对肝肾功能无明显不良影响。
英文摘要:
      Objective: To observe the self-homogenized meals on the efficacy of nutritional support in stroke patients.Methods: In our hospital to study 35 patients with stroke were homogenized in the application before meals,after using the first 14 days,21 days to monitoring of the nutritional status of patients measured triceps skinfold thickness (TSF),arm circumference (MAC),arm muscle circumference (AMC), and check blood total lymphocyte count (Lym), red blood cell count (RBC), hemoglobin (Hb), serum total protein (TP), albumin (ALB), prealbumin (PA), alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin(TB),direct bilirubin (DB), creatinine (CR), blood urea nitrogen (BUN).Results: After patients with nutritional support TSF, MAC, AMC significant improvement over the previous,the difference was significant (P <0.05); albumin, prealbumin, hemoglobin, red blood cells significantly improved over the previous, the the difference was significant(P <0.05);the number of Lymphocyte comparied with before nutrition support,there was no significant difference(P >0.05).ALT,AST,BUN,CR,TB,DB and nutritional support for the former was no significant difference(P >0.05).Conclusion: The homogenized diet can significantly improve the nutritional status of stroke patients, and for no obvious adverse effects on liver and kidney function.
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