《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (3): 258-259.

• 论文 • 上一篇    下一篇

3种肠内营养方案治疗急性脑梗死患者疗效及药物经济学比较

朱蓓蕾，王贞，殷为勇，张征，叶强，冯靓   

  1. 温州医学院附属第一医院脑血管科，浙江温州市 325000。
  • 收稿日期:2010-02-02 修回日期:1900-01-01 出版日期:2010-03-25 发布日期:2010-03-25

Enteral Nutritional Schemes for Patients with Acute Cerebral Infarction: A Pharmacoeconomic Analyses

ZHU Bei-lei, WANG Zhen, YIN Wei-yong, et al.   

  1. Department of Cerebrovascular Disease, First Hospital, Wenzhou Medical College, Wenzhou 325000, Zhejiang, China
  • Received:2010-02-02 Revised:1900-01-01 Published:2010-03-25 Online:2010-03-25

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摘要： 目的评价不同肠内营养方案治疗急性脑梗死患者的临床疗效及经济效果。方法急性脑梗死伴吞咽障碍患者117例，随机分为3组：分别给予鼻饲匀浆膳食、序贯肠内营养制剂、整蛋白肠内营养制剂治疗。14 d后观察各组临床疗效并应用药物经济学方法进行成本-效果分析。结果各组临床有效率分别为42.5%、75%、49%，成本-效果比分别为9.48、29.37、42.16。结论对于急性脑梗死伴吞咽障碍患者，序贯肠内营养制剂效果最佳，鼻饲匀浆膳食最经济。

关键词: 脑梗死, 吞咽障碍, 肠内营养, 药物经济学, 成本-效果分析

Abstract: ObjectiveTo evaluate the enteral nutritional schemes for patients with acute cerebral infarction in effectiveness and economy. Methods117 acute cerebral infarction patients with dysphagia were divided into 3 groups. Homogenized diet, sequential intestinal nutrition and intestinal integral protein were provided respectively for these groups by nasogastric tube feeding. The clinical effectiveness was evaluated and the cost-effectiveness analysis was done pharmacoeconomically 14 d later. ResultsThe effective rates of these schemes were 42.5%, 75% and 49%, while the cost-effectiveness ratios were 9.84, 29.37, 42.16 respectively. ConclusionFor the acute cerebral infarction patients with dysphagia, the scheme of sequential intestinal nutrition is most effective, and the homogenize diet is most economical.

Key words: cerebral infarction, dysphagia, enteral nutrition, pharmacoeconomics, cost-effectiveness analysis