摘要
19例急性重症胰腺炎患者中,10例(A组)行营养支持,9例(B组)未行营养支持.营养支持者TPN开始时间为术后3.86±3.18天,持续26.57±8.04天;补充蛋白质0.885±0.280g/kg·d,能量137.88±23.80kJ/kg·d,平均55.1%的能量由葡萄糖提供,其余能量由脂肪提供.此后逐步过渡至空肠造瘘管滴入要素膳,行肠道营养(EN),EN支持时间为27+7.83天.营养支持有利于改善急性重症胰腺炎患者的预后,降低死亡率;早期能减少机体蛋白分解,此后可稳定机体氮平衡,并向正氮平衡转化,提高血浆白蛋白值,增加抗感染能力;而对胰淀粉酶的分泌及急性重症胰腺炎的病理过程无明显影响.
The nineteen patients with acute severe pancreatitis were studied. 10 patients (Group A) were treated with nutrition support,the other 9 patients (Group B) were treated without nutrition support. TPN lasted 26. 57±8. 04 days for Group A,0. 885±0. 280g/kg ?d protein and 137. 88±23. 80kJ/kg ?d energy were given then enterol nutrition lasted 27 ±7. 83 days. This study suggested that nutrition support can decrease the decomposition of protein in the body,increase the value of albumin and anti-infection ability;without affecting secretion of pancreatic amylzyme and pathophysiological process of acute severe pancreatitis.
关键词
急性
重症胰腺炎
静脉营养
营养支持
胰腺炎
acute severe pancreatitis
total parenterol nutrition
enterol nutrition pancreatic secretion
