经鼻空肠双腔管营养可改善2型糖尿病合并高血压脑出血术后患者营养状态

李福雷.经鼻空肠双腔管营养可改善2型糖尿病合并高血压脑出血术后患者营养状态[J].内科急危重症杂志,2026,32(1):48-51

DOI：10.11768/nkjwzzzz20260111

中文关键词: 经鼻空肠双腔管营养治疗经胃管营养治疗糖尿病合并高血压脑出血疗效

英文关键词:

基金项目:

作者	单位	E-mail
李福雷		jz0273@sina.com

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中文摘要:

摘要目的：比较经鼻空肠双腔管（JEN）和经胃管（GEN）营养治疗在糖尿病合并高血压脑出血术后患者中的疗效。方法：选择糖尿病合并高血压脑出血术后患者82例，按照随机数字表法分为观察组（JEN营养）和对照组（GEN营养），各41例，比较2组患者治疗前、后的格拉斯哥昏迷指数评分（GCS）、美国国立卫生研究院卒中量表（NIHSS）评分、血红蛋白（Hb）、白蛋白（AIb）、前白蛋白（PA）、CD4+、CD8+、CD4+/CD8+水平及并发症。结果：治疗后2组GCS评分、Hb、AIb、PA、CD4+、CD4+/CD8+水平显著升高，且观察组较对照组升高更加显著（P均＜0.05）。治疗后2组NIHSS评分、CD8+水平显著降低，且观察组较对照组降低更加显著（P均＜0.05）。观察组并发症（肺部感染、压疮等）发生率低于对照组（P＜0.05）。结论：相比于GEN营养治疗，JEN营养治疗对糖尿病合并高血压脑出血术后患者的疗效更加显著，可改善营养状态，提高神经功能与免疫功能，降低并发症发生率，促进患者康复。

英文摘要:

Abstract Objective: To compare the application of nasojejunal tube enteral nutrition (JEN) and nasogastric tube enteral nutrition (GEN) in patients with diabetes complicated with hypertensive cerebral hemorrhage after surgery. Methods: In total, 82 patients with diabetes complicated with hypertensive intracerebral hemorrhage after operation were selected and divided into the observation group (JEN nutrition) and the control group (GEN nutrition) according to the random number table, with 41 patients in each group. The Glasgow Coma Scale (GCS), the National Institutes of Health Stroke Scale (NIHSS) score, hemoglobin (Hb), albumin (AIb), prealbumin (PA), CD4+, CD8+, CD4+/CD8+ levels and complications of the two groups were compared before and after treatment. Results: The GCS scores, Hb, Alb, PA, CD4+, CD4+/CD8+ levels were obviously increased in both groups after therapy, and the observation group showed a more obvious increase than the control group (P< 0.05). The NlHSS score and CD8+ level in both groups were obviously reduced after therapy, and the observation group showed a more obvious decrease than the control group (P< 0.05). Compared with the control group, the incidence of complications (such as lung infections and pressure ulcers) in the observation group was obviously reduced (P< 0.05). Conclusion Compared with GEN therapy, JEN therapy is more effective for patients with diabetes complicated with hypertensive cerebral hemorrhage, which can further improve nutritional status, improve neurological and immune functions, reduce the incidence of complications, and promote the recovery of patients.