营养支持在急性重症胰腺炎患者中的应用及护理

Nutritional support for patients with severe acute pancreatitis

目的探讨对急性重症胰腺炎（ASP）患者施行肠内肠外阶段性营养支持的效果。方法回顾性分析121例实施营养支持的ASP患者资料,包括观察患者营养支持时间、体质量变化、血清清蛋白、住院天数与营养支持有关的并发症。结果2例死于多器官功能衰竭,死亡率1.7%。其余119例行营养支持治疗,营养支持时间（25.6±5.1）d,其中83例体质量增加,38例体质量无明显变化;97例血清清蛋白提高,24例无明显变化。119例ASP患者均逐渐达到正氮平衡,并痊愈出院,平均住院时间为（31.5±17.1）d。发生与营养支持有关的并发症12例,其中消化不良9例,高渗性利尿3例,均治愈。结论在ASP患者营养支持的治疗和护理中,做好营养支持工作是治愈ASP的重要措施。

Objective In order to summarize the experience of nursing points of nutritional support for patients with severe acute pancreatitis （ASP）. Methods Retrospectively analyzed the clinical data of 121 patients with ASP treated in our department. Observed the treating time,changes of patients＇ body weight,changes of serum albumin and nutrition-related complications. Results There were 3 patients dead, 119 patients were cured by nutritional support, body weight gaining was found in 83 patients, length of being in hospital was （31.5 ± 17.1）d. There were 12 cases with nutrition-related complications,all of whom were corrected in time. Conclusion Nutritional support and proper nursing would improve the prognosis of ASP.