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| Effect Observation of the Short-term Prognosis of Different Nutrition Care for Acute Severe Cerebral Vascular Disease Patients with Conservative Treatment |
| Huaiyin People’s Hospital of Ji’nan City，Ji’nan 250021，China |
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Abstract Objective：To investigate the effect of short-term prognosis of early enteral nutrition combined with parenteral nutrition for acute severe cerebral vascular disease patients with conservative treatment.Method：150 acute severe cerebral vascular disease patients with conservative treatment from January 2012 to June 2014 were selected，they were divided into the observation group and the control group A and the control group B according to the random number table method，50 cases in each group.The observation group was given early enteral nutrition combined with parenteral nutrition，the control group A was given early enteral nutrition，the control group B was given conventional family feeding，the observation time of the three groups was 21 days.The nutritional status：triceps skinfold（TSF） and arm muscle circumference（AMC），triglyceride（TG），serum total protein（TP），albumin（ALB），hemoglobin（Hb） were observed and compared.The incidence of the infection in the three groups were recorded.The nerve function defect（NIHSS score） and daily life ability（ BI） in the three groups before and after treatment were evaluated and compared. Result：There were no statistically significant differences in the nutrition index，NIHSS score，BI index of the three groups before treatment（P>0.05）.The various nutrition index of the three groups after treatment were significantly decreased than before treatment，the control group B had the greatest reduction，the control group A took second place，the observation group decreased minimum，the differences were statistically significant（P<0.05）.The incidence of infection respectively was 12.00%，26.00%，36.00%，the difference was statistically significant（ χ2=8.726，P=0.007），the NIHSS score after treatment respectively was（ 11.51±2.68）scores，（13.22±2.71）scores，（14.48±2.55）scores，the difference was statistically significant（F=7.934，P=0.009）.There was no statistically significant difference in the BI of the three groups（P>0.05）.Conclusion：Early enteral nutrition combined with parenteral nutrition can obviously improve the nutritional status of acute severe cerebral vascular disease patients with conservative treatment，reduce the incidence of infection，improve the short-term prognosis of patients.
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