Study on the Effects of Early Nasoenteric Tube Nutritional Support Assisted by Gastroscopy on Aspiration and Prognosis in Patients With Hypertensive Cerebral Hemorrhage.

IF 1 4区医学 Q4 CLINICAL NEUROLOGY

Neurologist Pub Date : 2025-08-11 DOI:10.1097/NRL.0000000000000639

Miao Guo

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引用次数: 0

Abstract

Objective: To evaluate the impact of early gastroscopy-assisted nasoenteric tube nutritional support on aspiration and prognosis in patients with hypertensive cerebral hemorrhage.

Methods: A total of 150 patients with hypertensive cerebral hemorrhage (December 2021-December 2023) were randomized into a control group (n=75) receiving nasogastric tube nutritional support and a study group (n=75) receiving gastroscopy-assisted nasoenteric tube nutritional support. Outcomes included the incidence of aspiration and aspiration pneumonia, aspiration risk (assessed by the ICU aspiration risk scale), nutritional indicators (hemoglobin, albumin, pre-albumin, and transferrin), and prognostic scores (GCS and APACHE II).

Results: The study group had significantly lower incidence rates of aspiration (8.00%) and aspiration pneumonia (6.67%) compared with the control group (33.33% and 20.00%, respectively, P<0.05). Preintervention measures showed no significant differences between groups (P>0.05). Postintervention (weeks 1 and 2), the study group exhibited significantly improved aspiration risk scores, higher nutritional indicator levels, and better prognostic outcomes (higher GCS scores and lower APACHE II scores) compared with the control group (P<0.05).

Conclusions: Gastroscopy-assisted nasoenteric tube nutritional support reduces aspiration risk and incidence in patients with hypertensive cerebral hemorrhage, enhancing nutritional status and improving prognosis.

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胃镜辅助下早期鼻肠管营养支持对高血压脑出血患者误吸及预后影响的研究。

目的：探讨早期胃镜辅助鼻肠管营养支持对高血压脑出血患者误吸及预后的影响。方法：选取2021年12月~ 2023年12月高血压脑出血患者150例，随机分为对照组（n=75）接受鼻胃管营养支持，研究组（n=75）接受胃镜辅助鼻肠管营养支持。结果包括误吸和吸入性肺炎的发生率、误吸风险（通过ICU误吸风险量表评估）、营养指标（血红蛋白、白蛋白、前白蛋白和转铁蛋白）和预后评分（GCS和APACHE II）。结果：研究组吸入性肺炎发生率（8.00%）和吸入性肺炎发生率（6.67%）明显低于对照组（33.33%和20.00%,p < 0.05）。干预后（第1周和第2周），研究组与对照组相比，误吸风险评分明显提高，营养指标水平更高，预后结果更好（GCS评分更高，APACHEⅱ评分更低）。结论：胃镜辅助鼻肠管营养支持可降低高血压脑出血患者误吸风险和发生率，改善营养状况，改善预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurologist 医学-临床神经学

CiteScore

1.90

自引率

0.00%

发文量

151

审稿时长

2 months

期刊介绍： The Neurologist publishes articles on topics of current interest to physicians treating patients with neurological diseases. The core of the journal is review articles focusing on clinically relevant issues. The journal also publishes case reports or case series which review the literature and put observations in perspective, as well as letters to the editor. Special features include the popular "10 Most Commonly Asked Questions" and the "Patient and Family Fact Sheet," a handy tear-out page that can be copied to hand out to patients and their caregivers.