Objective To develop an early nourishing enteral nutrition support program for patients after hypertensive cerebral hemorrhage surgery and evaluate its application effects.Methods An early nourishing enteral nutrition support program was formulated through literature research, group discussion, and the Delphi method. Sixty-two patients after hypertensive cerebral hemorrhage surgery were randomly divided into a control group and an intervention group.The control group received routine enteral nutrition intervention, while the intervention group was subjected to early nourishing enteral nutrition intervention.Nutritional indicators, gastrointestinal reactions, hyperglycemia incidence, neurological function, and hospitalization time and costs were compared between the two groups.Results After 14 days of nutritional intervention, the prealbumin levels in the intervention group was significantly higher than that in the control group, and the incidence of abdominal distension, diarrhea, aspiration, and hyperglycemia incidence was significantly lower than those in the control group.The neurological function scores, the hospitalization time and costs were significantly lower than those in the control group (all P＜0.05).Conclusion Implementing an early nourishing enteral nutrition support program for critically ill patients after hypertensive cerebral hemorrhage surgery can reduce the incidence of gastrointestinal adverse reactions, improve the nutritional status and neurological function of patients, and reduce the burden on patients.