Abstract: Objective To explore the impact of early enteral nutrition combined with systematic health guidance on the prognosis and incidence of adverse reactions in patients with severe cerebral hemorrhage. Methods Selected 96 patients admitted to the Second People's Hospital of Guiyang City, all of whom were severe cerebral hemorrhage; the grouping method used the random number table scheme, and the number of cases in each group was 48 cases. On the basis of routine care, the control group was given systematic health guidance and routine parenteral nutritional support; the observation group was given early enteral nutritional support on the basis of the control group; and the two groups were compared in terms of nutritional and physical conditions, adverse reactions and so on. Results The hemoglobin (Hb), albumin (Alb), prealbumin, and nitrogen balance (Nb) levels as well as upper arm muscle circumference, triceps skin muscle fold thickness (TSF), and body mass of the observation group were higher than those of the control group at 2 weeks after the operation (P<0.05). The psychological state of the observation group was better than that of the control group, and the adverse reactions were lower than that of the control group (P<0.05). And there was no difference in the comparison of the prognostic outcomes of the two groups at 28 d postoperatively (P>0.05). Conclusion The use of early enteral nutrition combined with systematic health guidance for patients with severe cerebral hemorrhage improves the nutritional status of patients, reduces the occurrence of adverse reactions, and has no adverse effect on the prognostic outcome of patients.

Key words: early enteral nutrition, systematic health guidance, severe cerebral hemorrhage