title: [Clinical study on the early nutrition support in postoperative patients with critical hypertensive intracerebral hemorrhage].
abstract: OBJECTIVE
  To investigate the clinical significance of early nutritional support for patients with critical hypertensive intracerebral hemorrhage (HICH) in a critical condition after operation, and the rationale of different methods of nutritional support.
  
  
  METHODS
  One hundred and seven HICH patients after operation with Glasgow coma score (GCS) 6-8 were randomly divided into three groups: early enteral nutrition (EEN) group (38 cases); early parenteral nutrition (EPN) group (35 cases), conventional treatment controls (34 cases). They were given different nutritional supports 48 hours after operation. Changes in nutritional parameters and the clinical complications in three groups after treatment were observed, and the treatment effects after 3 months were compared.
  
  
  RESULTS
  At the end of first week after operation, nutrition parameters including albumin (ALb), hemoglobin (Hgb) in EEN and EPN groups were better than those in control group(P<0.05); at the end of second week, they were differences among three groups but without statistical significance (P>0.05). The complications were higher in EPN and control groups (P<0.05 or P<0.01). The outcome was assessed 3 months after the operation in term of activity of daily life (ADL), and the result was better in EEN group than that in EPN and control groups (P<0.005).
  
  
  CONCLUSIONS
  Postoperative HICH patients in critical condition could be benefited with EEN, and complications could be reduced with improved prognosis.
authors.affiliation: Department of Neurosurgery, Xiaoshan First People's Hospital, Hangzhou 311201, Zhejiang, China. dwf91059@163.net
authors.forename: Jian-jun
authors.initials: JJ
authors.lastname: Zhang
authors.forename: Wei-feng
authors.initials: WF
authors.lastname: Dong
authors.forename: Shui-jun
authors.initials: SJ
authors.lastname: Gu
authors.forename: Jun
authors.initials: J
authors.lastname: Zhang
authors.forename: Hong-fei
authors.initials: HF
authors.lastname: Xuan
authors.forename: Ren-long
authors.initials: RL
authors.lastname: Xie
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D020299:Intracranial Hemorrhage, Hypertensive / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018529:Nutritional Support / Q000379:methods*; D011182:Postoperative Care; D011379:Prognosis