含膳食纤维肠内营养在脑出血术后患者中的价值分析(1)
摘 要：目的 探讨在脑出血术后患者中早期应用含膳食纤维肠内营养，对其免疫功能和预后的影响。方法 选择研究2012年6月～2017年6月我院收治的行脑出血手术后的120例患者，根据手术后营养支持方案的不同分为观察组与对照组，每组60例。观察组给予含膳食纤维肠内营养支持，对照组给予普通肠内营养支持，对比两组患者的IgG、IgA、IgM、免疫细胞数目、术后并发症情况。结果 在手术次日，两组患者在IgG、IgA、IgM、免疫细胞数目等免疫指标上无明显差异，差异无统计学意义(P>0.05)；在手术后2周，观察组患者的IgG、IgA、IgM、免疫细胞数目等指标均高于对照组，差异有统计学意义(P<0.05)；对照组患者住院期间的不良反应发生率为66.67%，高于观察组的43.33%，差异有统计学意义(P<0.05)。结论 在脑出血术后患者中应用含膳食纤维的肠内营养治疗方案，能够显著改善患者的免疫状态，减少住院期间并发症发生率，值得在临床推广应用。
关键词：脑出血；肠内营养；膳食纤维；免疫功能
, 百拇医药
中图分类号：R743.2 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.10.035
文章编号：1006-1959(2018)10-0111-03
Analysis of the Value of Dietary Fiber Enteral Nutrition in Postoperative Patients with Cerebral Hemorrhage
ZHOU Tao
(Department of Neurosurgery，Lixin People's Hospital，Lixin 236700，Anhui，China)
Abstract：Objective To investigate the early application of enteral nutrition containing dietary fiber in patients with cerebral hemorrhage and its influence on immune function and prognosis.Methods 120 patients with intracerebral hemorrhage treated in our hospital from June 2012 to June 2017 were divided into observation group(n=60)and control group(n=60).The observation group was given enteral nutrition with dietary fiber，while the control group was given general enteral nutrition support.The IgG，IgA，IgM，number of immune cells and postoperative complications were compared between the two groups.Results On the day after operation，there was no significant difference between the two groups in the immune indexes，such as IgG，IgA，IgM，and the number of immune cells.The difference was not statistically significant(P>0.05).At 2 weeks after the operation，the indexes of IgG，IgA，IgM，and the number of immune cells in the observation group were higher than those in the control group，the difference was statistically significant(P<0.05)； the incidence of adverse reactions in the control group was 66.67%，which was higher than that of the observation group 43.33%，and the difference was statistically significant(P<0.05).Conclusion The application of dietary fiber enteral nutrition therapy in patients with cerebral hemorrhage can significantly improve the immune status of the patients and reduce the incidence of complications during hospitalization，which is worthy of clinical application.
, 百拇医药
Key words：Cerebral hemorrhage；Enteral nutrition；Dietary fiber；Immune function
高血压脑出血(hypertensive cerebral hemorrhage，HICH)是神经科急重症，具有起病急骤、病情变化快、致残致死率高的特点，给家庭和社会带来沉重的负担。对于高血压脑出血的治疗，包括内科保守治疗和外科手术治疗，对于出血量大、意识情况下降的HICH患者多需要行手术治疗，挽救生命。HICH手术的患者多存在不同程度的意识障碍，无法自主进食，病程中因引起电解质紊乱、白蛋白下降、免疫功能降低，从而增加患者的住院時间，不利于患者的神经康复，引起预后变差[1]。HICH手术后患者的营养支持方案也一直是神经科、营养科等临床医师共同关心、讨论的热点问题，本研究主要探讨在HICH手术后，早期给予含膳食纤维的肠内营养支持方案，对其免疫功能、手术后并发症以及预后的影响，以期为临床提供参考资料，现报道如下。, http://www.100md.com(周涛)
关键词：脑出血；肠内营养；膳食纤维；免疫功能
, 百拇医药
中图分类号：R743.2 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.10.035
文章编号：1006-1959(2018)10-0111-03
Analysis of the Value of Dietary Fiber Enteral Nutrition in Postoperative Patients with Cerebral Hemorrhage
ZHOU Tao
(Department of Neurosurgery，Lixin People's Hospital，Lixin 236700，Anhui，China)
Abstract：Objective To investigate the early application of enteral nutrition containing dietary fiber in patients with cerebral hemorrhage and its influence on immune function and prognosis.Methods 120 patients with intracerebral hemorrhage treated in our hospital from June 2012 to June 2017 were divided into observation group(n=60)and control group(n=60).The observation group was given enteral nutrition with dietary fiber，while the control group was given general enteral nutrition support.The IgG，IgA，IgM，number of immune cells and postoperative complications were compared between the two groups.Results On the day after operation，there was no significant difference between the two groups in the immune indexes，such as IgG，IgA，IgM，and the number of immune cells.The difference was not statistically significant(P>0.05).At 2 weeks after the operation，the indexes of IgG，IgA，IgM，and the number of immune cells in the observation group were higher than those in the control group，the difference was statistically significant(P<0.05)； the incidence of adverse reactions in the control group was 66.67%，which was higher than that of the observation group 43.33%，and the difference was statistically significant(P<0.05).Conclusion The application of dietary fiber enteral nutrition therapy in patients with cerebral hemorrhage can significantly improve the immune status of the patients and reduce the incidence of complications during hospitalization，which is worthy of clinical application.
, 百拇医药
Key words：Cerebral hemorrhage；Enteral nutrition；Dietary fiber；Immune function
高血压脑出血(hypertensive cerebral hemorrhage，HICH)是神经科急重症，具有起病急骤、病情变化快、致残致死率高的特点，给家庭和社会带来沉重的负担。对于高血压脑出血的治疗，包括内科保守治疗和外科手术治疗，对于出血量大、意识情况下降的HICH患者多需要行手术治疗，挽救生命。HICH手术的患者多存在不同程度的意识障碍，无法自主进食，病程中因引起电解质紊乱、白蛋白下降、免疫功能降低，从而增加患者的住院時间，不利于患者的神经康复，引起预后变差[1]。HICH手术后患者的营养支持方案也一直是神经科、营养科等临床医师共同关心、讨论的热点问题，本研究主要探讨在HICH手术后，早期给予含膳食纤维的肠内营养支持方案，对其免疫功能、手术后并发症以及预后的影响，以期为临床提供参考资料，现报道如下。, http://www.100md.com(周涛)