经鼻空肠管早期肠内营养在重症急性胰腺炎治疗中的作用

目的探讨经鼻空肠管早期肠内营养(EN)在重症急性胰腺炎(SAP)综合治疗措施中的作用。方法回顾分析近3年我科收治的41例SAP患者的临床资料,按是否接受EN分成EN组(24例)和常规组(17例),比较两组患者治愈率、病死率、住院时间、平均住院费用和血清白蛋白的差异。结果41例患者中5例(12.2%)出现并发症。经鼻空肠管早期EN可缩短住院时间和减少住院费用;血清白蛋白水高于常规治疗组(P<0.05);治愈率、病死率两组比较无统计学意义(P>0.05)。结论重症急性胰腺炎患者应尽可能采用经鼻空肠管早期肠内营养(EN),合理应用EN有助于改善病情,显著改善机体营养状况。

Objective To investigate the effects of enteral nutrition（EN） by nasointestinal tube in treatment of severe acute pancreatitis （SAP）. Methods Retrospective analysis of the past three years, Treated 41 cases by SAP of clinical information on whether or not to accept EN into EN group （24 cases） and the control group （17 cases） were compared with the cure rate, mortality rate, length of stay, average hospitalization costs and serum albumin difference. Results 41 patients in five cases （12.2%） complications. The nose of the jejunum early EN can be shortened length of stay and reduce hospitalization costs; serum albumin water than the conventional therapy group （P〈0.05）; cure rate, the death rate between the two groups was not significant （P〉0.05）. Conclusion Patients with severe acute pancreatitis should maximize the use of nasal jejunum Early enteral nutrition （EN）, the rational application of EN help improve conditions significantly improve nutritional status of the body.