Clinical Effect Of Early Enteral Nutrition Support Therapy With Diferent Nutrients On Patients With Severe Cerebral Hemorrhage

Objective:To analyze the clinical effect of early enteral nutrition support therapywith diferent nutrients on patients with severe cerebral hemorrhage.Methods:A total of 100 patients with severe cerebral hemorrhage in People's Hospital Affiliated to Shanxi Medical University were enrolled between September 1st,2016 to August 31 st,2018,The patients were randomly divided into observation group and control group,with 50 cases in each group.The control group had enteral nutrition support with Self-made Homogenate,and the observation group was treated by enteral nutritional emulsion.Levels of serum total protein(TP),prealbumin(PA),albumin(ALB),hemoglobin(Hb),Acute Physiology and Chronic Health Evaluation ?(APACHE?)score and incidence of digestive complications were analyzed.Results:There was no significant difference of nutrition indexes and APACHE II score between the two groups before treatment(P>0.05),After 10 d treatment,levels of serum total protein,prealbumin,albumin and hemoglobin were improved in observation group and they were significantly higher than those before treatment and those in control group[(75±3)g/L vs(62±4)g/L?(269±42)mg/L vs(224±32)mg/L?(48.2±3.1)g/L vs(28.4±1.6)g/L?(133±6)g/L vs(100±15)g/L](all P<0.05),APACHE II score decreased significantly and the score in observation group was lower than that incontrol group [(10.1±2.6)vs(18.4±2.6)](P<0.05).Incidence of nutrition-related complications was 14.0%(7/50)in the study group and 38.0%(19/50)in the control group.There was a significant difference in the incidence of digestive complications in observation group was significantly lowere than that in control group[14%(7/50)vs38.0%(19/50)](P<0.05).Conclusion:Enteral nutrition support therapy with enteral nutritional emulsion treating patients with severe cerebral hemorrhage can markedly improve nutrition status and resistance,reduce complications and improve the prognosis.