重症急性胰腺炎患者个体化阶段性营养支持的疗效观察

Individualized nutritional support of severe acute pancreatitis patients at different stages

目的探讨个体化阶段性营养支持、全胃肠外营养治疗对重症急性胰腺炎的营养效应、疗效及相应的护理经验。方法100例重症急性胰腺炎患者数字化随机分为全胃肠外营养组(TPN组)及个体化阶段性营养组(个体化组),每组50例,观测两组并发症、住院天数及全身表现。结果个体化组肝功能损害程度较TPN组轻,并发症发生率低,恢复经口饮食时间短(P均<0.05)。结论个体化阶段性营养支持治疗可有效改善营养状态,改善预后,加强治疗过程中的护理监护,可以降低相关并发症的发生。

Objective To explore nutritious effects of the individualized nutrit ional support at different stages and total parenteral nutrition on severe acute pancreatitis (SAP) and the nursing care. Methods 100 SAP patients were equally randomized into two groups: total parenteral nutrition (TPN) group and individu alized nutritional support group. Their complications, course of disease and bod ily manifestations were observed. Results There was less damage in hepatic func tion, lower complication rate and shorter time for resuming to oral dining in th e individualized group than in the TPN group (P<0.05). Conclusion The supportiv e treatment by individualized nutritious support at different stages may improve the nutrition conditions of patients, improve the prognosis. Enhancement of nur sing care during treatment may lower the occurrence rate of complications.