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Article Navigation >  Journal of Pharmaceutical Practice and Service  > 2016  >  34(5): 408-411

LIU Chun, YANG Xiaochen, CHEN Bowen, SHANG Erning. Nutritional risk screening and nutritional support survey of patients with severe stroke[J]. Journal of Pharmaceutical Practice and Service, 2016, 34(5): 408-411. doi: 10.3969/j.issn.1006-0111.2016.05.007
Citation: LIU Chun, YANG Xiaochen, CHEN Bowen, SHANG Erning. Nutritional risk screening and nutritional support survey of patients with severe stroke[J]. Journal of Pharmaceutical Practice and Service, 2016, 34(5): 408-411. doi: 10.3969/j.issn.1006-0111.2016.05.007
shu

Nutritional risk screening and nutritional support survey of patients with severe stroke

doi: 10.3969/j.issn.1006-0111.2016.05.007
  • 1.

    Department of Pharmacy, Suzhou Municipal Hospital, Suzhou 215002, China

  • 2.

    College of Pharmacy, Nanjing Medical University, Nanjing 210000, China

  • Received Date: 2015-08-14
  • Rev Recd Date: 2015-11-27
  • Objective To discuss the signficance using nutrtional risk screening (NRS) to evaluate nutritional status in patients with severe stroke. In the meantime compare the clinical application value between enteral and parenteral nutritional support therapies. Methods A retrospective survey was adopted to analyze the nutritional status in 267 patients with severe stroke. Their nutritional statuses were evaluated by NRS 2002 nutrtional risk screening. Patients were divided into three groups, including enteral nutrition (EN) group, parenteral nutrition (PN) group and EN+PN group based on the type of their nutritional support. By comparing changes of indicators before and after of adiministration of nutritional support, the clinical efficacy and adverse reactions for each group were evaluated. Results In EN group and EN+PN group total protein and albumin level were significantly increased after 10 days nutritional support (P<0.05). Small changes in patients' liver and kidney function indices in EN group. The incidence of co-infection was 16.67% in EN group, which was lowest among three groups. Conclusion Enteral nutrition support could not only improve the nutritional status of patients with severe stroke, but also could reduce the incidence of infections and gastrointestinal complications. It significantly improves the prognosis of patients.
  • [1] Galban C, Montejo JC, Mesejo A, et al. An immune enhancing enteral diet reduces mortality rate and episodes of bacteremia in septic intensive care unit patients[J]. Crit Care Med, 2000, 28(3): 643-648.
    [2] 王少石,Chan DK,Gillies D.急性脑卒中综合性治疗模式的优越性[J].中华内科杂志,2002,41(11):725-727.
    [3] 王少石,郑天衡,陈真理,等.早期肠内营养治疗对急性卒中近期预后的影响[J].中华内科杂志,2007,46(5):366-369.
    [4] Lochsa H,Al1isonb SP,Meierc R. Introductory to the ESPEN Guidelines on Enteral Nutrition: Terminology, definitions, and general topics[J]. Clin Nutr,2006, 25(2):180-186.
    [5] 中华医学会编辑出版部.法定计量单位在医学上的应用[M].2版.北京:人民军医出版杜,1998:37.
    [6] 蒋朱明.中国肠内肠外营养学临床诊疗指南[M].北京:人民卫生出版社,2006:322.
    [7] FOOD Trial Collaboration. Poor nutritional status on admission predicts poor outcomes after stroke: observational data from the FOOD trial[J].Stroke,2003,34(6):1450-1456.
    [8] Donnan GA, Dewey HM. Stroke and nutrition: FOOD for thought[J].Lancet, 2005, 365(9461): 729-730.
    [9] 崔丽英,陈海波,宿英英,等.北京大医院神经科住院患者营养风险、营养不足、超重和肥胖发生率及营养支持应用状况[J].中华临床营养杂志,2009,17(2):67-70.
    [10] Kondrup J, Rasmussen HH, Hamberg O,et al.Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials[J].Clin Nutr,2003,22(3):321-336.
    [11] 魏 丽,陈济生,杨倩琳,等.肠内外联合营养支持对急性脑卒中患者临床价值的回顾性调查研究[J].军事医学,2011,35(3):223-228.
    [12] Goldstein LB,Bushnell CD,Adams RJ,et al.Guidelines for the primary prevention of stroke:a guideline for health care professionals from the American Heart Association/American Stroke Association[J].Stroke,2011,42(2):517-584.
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Nutritional risk screening and nutritional support survey of patients with severe stroke

doi: 10.3969/j.issn.1006-0111.2016.05.007
  • 1. Department of Pharmacy, Suzhou Municipal Hospital, Suzhou 215002, China
  • 2. College of Pharmacy, Nanjing Medical University, Nanjing 210000, China
  • Received Date: 2015-08-14
  • Rev Recd Date: 2015-11-27

Abstract: Objective To discuss the signficance using nutrtional risk screening (NRS) to evaluate nutritional status in patients with severe stroke. In the meantime compare the clinical application value between enteral and parenteral nutritional support therapies. Methods A retrospective survey was adopted to analyze the nutritional status in 267 patients with severe stroke. Their nutritional statuses were evaluated by NRS 2002 nutrtional risk screening. Patients were divided into three groups, including enteral nutrition (EN) group, parenteral nutrition (PN) group and EN+PN group based on the type of their nutritional support. By comparing changes of indicators before and after of adiministration of nutritional support, the clinical efficacy and adverse reactions for each group were evaluated. Results In EN group and EN+PN group total protein and albumin level were significantly increased after 10 days nutritional support (P<0.05). Small changes in patients' liver and kidney function indices in EN group. The incidence of co-infection was 16.67% in EN group, which was lowest among three groups. Conclusion Enteral nutrition support could not only improve the nutritional status of patients with severe stroke, but also could reduce the incidence of infections and gastrointestinal complications. It significantly improves the prognosis of patients.

LIU Chun, YANG Xiaochen, CHEN Bowen, SHANG Erning. Nutritional risk screening and nutritional support survey of patients with severe stroke[J]. Journal of Pharmaceutical Practice and Service, 2016, 34(5): 408-411. doi: 10.3969/j.issn.1006-0111.2016.05.007
Citation: LIU Chun, YANG Xiaochen, CHEN Bowen, SHANG Erning. Nutritional risk screening and nutritional support survey of patients with severe stroke[J]. Journal of Pharmaceutical Practice and Service, 2016, 34(5): 408-411. doi: 10.3969/j.issn.1006-0111.2016.05.007
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