目的 探讨急性重症脑卒中患者接受不同营养支持治疗的临床疗效。方法 随机选取本院2011年2月至2013年2月急性 重症脑卒中伴吞咽困难者100例，随机分为两组，肠内营养组50例，肠外营养组50例，进行对照研究，共治疗3周， 比较两组患者治疗前后的营养指标和并发症情况。结果 治疗后肠内营养组血清白蛋白、血色素均高于肠外营养 组，差异有统计学意义（p<0.05）；肠内营养组并发症发生率低于肠外营养组，差异有统计学意义（p<0.05）。结 论 早期肠内营养支持可提高急性重症脑卒中患者生存率，降低致残率及死亡率。

Objective To compare the effects of enteral nutrition and parenteral nutrition for the early support of patients with severe acute stroke and dysphagia. Methods A total of 100 patients with dysphagia and severe acute stroke were selected from February 2011 to February 2013,who were randomly divided into two groups.50 patients were given enteral nutrition support treatment as the observation group, and the other 50 patients were given parenteral nutrition support treatment as the control group.The course of treatment was 3 weeks. Nutrition index and complications were compared between two groups before and after treatment. Results After treatment ,serum albumin and hemoglobin in the observation group were significantly higher than those in the control group,the differences were statistically significant (P<0.05); Complication rate in the observation group was significantly lower than that in the control group. The difference was statistically significant(p<0.05). Conclusion Early enteral nutrition support therapy for patients with serve acute stroke combined with dysphagia can significantly improve survival rate and decrease the incidence of physical-disability and decease.