Analysis of the effectiveness of early nasojejunal enteral nutrition combined with risk warning nursing intervention in patients with severe stroke
重症脑卒中患者运用早期鼻空肠管肠内营养结合风险预警护理干预的有效性分析

摘要

目的 探析早期鼻空肠管肠内营养结合风险预警护理干预运用于重症脑卒中患者中的有效性。方法自2025年2月起，本院开始收集诊治重症脑卒中的病例资料，至2026年2月止共纳入74例，通过盲选法平均分组。一组37例采取早期鼻空肠管肠内营养与常规护理设为参照组；一组37例采取早期鼻空肠管肠内营养结合风险预警护理干预设为研究组。对比两组营养状况及并发症等情况。结果 研究组血清前白蛋白、血红蛋白以及总白蛋白等营养指标水平较参照组显著偏高（P<0.05）。研究组并发症的发生率为8.11%，较参照组的24.32%显著偏低（P<0.05）。结论 早期鼻空肠管肠内营养结合风险预警护理干预运用于重症脑卒中患者中，可明显改善患者的营养状况，有效降低并发症的发生率，应积极推广。

Abstract

Objective To explore the effectiveness of early nasojejunal nutrition combined with risk warning nursing intervention in patients with severe stroke.
Methods Starting from February 2025, our hospital began collecting case data on the diagnosis and treatment of severe stroke. By February 2026, a total of 74 cases were included and evenly divided into groups through blind selection. A group of 37 cases were treated with early nasojejunal enteral nutrition and routine nursing as the reference group; A group of 37 cases were enrolled in the study group, who received early nasojejunal enteral nutrition combined with risk warning nursing intervention. Compare the nutritional status and complications between two groups.
Results The levels of nutritional indicators such as serum prealbumin, hemoglobin, and total albumin in the study group were significantly higher than those in the reference group (P<0.05). The incidence of complications in the study group was 8.11%, which was significantly lower than the 24.32% in the reference group (P<0.05).
Conclusion   Early nasojejunal enteral nutrition combined with risk warning nursing intervention can significantly improve the nutritional status of patients with severe stroke, effectively reduce the incidence of complications, and should be actively promoted.