肠道清洁和早期肠内营养在重症急性胰腺炎治疗中的应用及护理

目的探讨肠道清洁和早期肠内营养在重症急性胰腺炎治疗中的疗效和护理方法。方法将80例重症急性胰腺炎患者随机分为实验组和对照组,每组各40例。两组均采用禁食、胃肠减压、抗感染和营养支持等治疗,实验组在此基础上采用生大黄清洁肠道和早期肠内营养。比较两组患者的疗效。结果两组患者腹胀和腹痛缓解时间、全身中毒症状改善情况、并发症发生率以及住院时间、住院费用等方面比较,均P<0.05,差异有统计学意义。结论肠道清洁和早期肠内营养能有效地提高重症胰腺炎的治愈率。

Objective To explore the role of intestinal clearing and caller enteral nutrition in the treatment of severe acute pancreatitis and the nursing strategies. Methods 80 patients with severe acute pancreatitis were evenly randomized into the experimental group and the control group. All the patients were treated by fasting, astrointestinal decompression, anti-infection and nutritional support. Besides, intestinal clearing with Radix et Rhizoma Rhei and earlier enteral nutrition were conducted in the experimental group. Result There were significant differences between the groups in swelling, time and degree of abdominal pain relief, improvement of toxic symptom, incidence rate of complications, and duration and expenses for hospitalization （ P 〈 0.05 ）. Conclusion Intestinal clearing and earlier enteral nutrition are effective for improving the cure rate of severe acute pancreatitis.