老年缺血型脑卒中患者肠内营养支持情况调查及影响因素分析
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冉宏,本科,护师,主要研究方向:老年性疾病的防治与健康干预管理

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R181

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Investigation and influencing factors of enteral nutrition support in elderly patients with ischemic stroke
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    摘要:

    目的 探讨老年缺血型脑卒中患者肠内营养支持情况,并对其影响因素进行分析。方法 纳入2020年7月至2024年2月西部战区总医院收治的328例因缺血型脑卒中患者,开展营养筛查,并选择相应的营养支持方案,调查患者肠内营养支持达标情况,根据患者热卡摄入达标与否分为达标组(n=140)和未达标组(n=97),讨论患者不同临床特征对肠内营养支持的影响,并采用logistic对患者肠内营养支持不达标的影响因素进行分析。结果 328例缺血型脑卒中患者应用全肠外营养支持、全肠内营养支持、肠内营养联合肠外营养支持的患者占比分别为25.30%、27.74%、46.95%。未达标组呕吐或反流、胃残余量>100 mL、机械通气、使用抗生素种类>2患者比例高于达标组,差异显著(P<0.05)。经logistic证实上述临床特征为肠内和肠内肠外合并营养支持患者的危险因素。结论 呕吐或反流、胃残余量、机械通气、抗生素使用数量为影响患者肠内营养支持的重要因素,临床医师需对上述临床特征给予关注。

    Abstract:

    Objective To explore enteral nutrition support and analyze its influencing factors in elderly patients with ischemic stroke. Methods A total of 328 patients with ischemic stroke in General Hospital of Western Theater Command were enrolled for nutritional screening between July 2020 and February 2024. Corresponding nutritional support plans were selected to investigate the compliance of patients with enteral nutrition support. Patients were divided into a standard group (n=140) and a non-standard group (n=97) based on whether their calorie intake met the standard. The effects of different clinical characteristics on enteral nutrition support were explored, and logistic analysis was used to analyze the influencing factors of non-standard enteral nutrition support. Results In the 328 patients with ischemic stroke, proportions of total parenteral nutrition support, total enteral nutrition support, and parenteral/enteral nutrition support were 25.30%, 27.74% and 46.95%, respectively. The proportions of vomiting or regurgitation, gastric residual volume >100 mL, mechanical ventilation and use of antibiotics >2 in the non-standard group were higher than those in the standard group (P<0.05). Logistic analysis showed that the above clinical characteristics were risk factors influencing patients with enteral nutrition support and parenteral/enteral nutrition support. Conclusion Vomiting or regurgitation , gastric residual volume, mechanical ventilation, and amount of antibiotics used are important influencing factors of enteral nutrition support in patients. Clinicians should pay attention to the above clinical characteristics .

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  • 收稿日期:2024-12-05
  • 最后修改日期:2024-12-05
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  • 在线发布日期: 2025-01-15
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