Objective: To investigate the influence of early enteral nutrition on blood glucose,serum proteins,nitrogen balance and complications in patients with severe brain injury. Methods: 40 cases of severe brain injury were randomly divided into experimental group and control group.The experimental group was treated by homogenized diet and the control group was treated by nutrison fibre.Parenteral nutrition was adopted when enteral nutrition was insufficient.The levels of blood glucose、serum proteins、nitrogen balance and complications were measured during nutrition support(1 d,15 d,30 d). Results: Glucose and protein metabolism were significantly improved in two group(P0.01,P0.05).Compared with control group,blood glucose and nitrogen balance were significantly improved(P0.05) in experimental group. Conclusion: Early enteral nutrition treatment is important in patients with severe brain injury.Compared with nutrison fibre,homogenized diet is more effective and economic.
Objectives:To study the effect of Astragalus-supplemented enteral nutrition on the humoral immunity(IgA、IgG、IgM),cellular immunity(Tlymphocyte subsets) in type-2 diabetic patients with ischemic stroke.Methods:64 cases of type-2 diabetic patients with ischemic stroke were randomly divided into treated group and control group.The treated group was treated with homogenized diet and Radix Astragalis(equivalent to 60g crude drug),and the control group was treated with Nutrison fibre.Venous blood from cubital vein was collected before and after treatment to detect the IgA、IgG、IgM、 T-lymphocyte subsets、fasting blood glucose、serum proteins and the nutritional status was evaluated.Results:Compared with the control group,IgG 、IgM、 CD4(%)、CD4/CD8 ratio in the treated group increased significantly(P0.05, P0.01);fasting blood glucose in the treated group was significantly improved(P0.01).During the period of this study,the levels of serum proteins had no significant changes between two groups.Conclusions:Astragalus-supplemented enteral nutrition can improve the immune function and fasting blood glucose of type-2 diabetic patients with ischemic stroke.
Objectives To observe the role of hypocaloric nutrition support in critically old patients.Methods Sixty cases of critically old patients were randomly divided into hypocaloric group and normal group.Hypocaloric group was treated with peripheral parenteral nutrition support of 84～105 KJ/kg/d for 14 days.Normal group was treated with peripheral parenteral nutrition support of 126～146 KJ/kg/d for 14 days.Body weight,blood glucose,serum proteins were measured and lymphocyte were counted during nutrition support.Results Compared with normal group,blood glucose in hypocaloric group was significantly inproved(P0.01) the levels of serum proteins had no significant changes between two groups.Conclusion Early hypocaloric nutrition support is a selected method for critically old patients.
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