三腔管在重症胰腺炎治疗中的应用

Application of Three-cave-nutrient-canal in Treatment of Severe Acute Pancreatitis

目的探讨三腔营养管在重症急性胰腺炎（SAP）肠内营养（EN）中的应用价值。方法将40例SAP患者随机分戍三腔组和对照组各20例。三腔组置入FRECA三腔喂养管（华瑞制药生产），一腔置于Trial’s韧带15—20cm以下进行肠内营养，一腔置于胃内引流胃液，另一腔置入空肠充气预防营养液返流；对照组置普通胃肠营养管进行EN，观察两组临床指标。结果实验组与对照组差异均有统计学意义（P〈0．05），病死率5．0％（1／20）vs15％（3／20）（P〉0．05）。结论对SAP患者行EN，应用三腔营养管，既能使肠内营养有效，又能减轻胰腺负担，疗效较满意。

Objective To investigate the clinical contribution of the three-cave-nutrient-canal in enteral nutrition in severe acute Pancreatitis （SAP）. Methods 40 patients with SAP were equated into two groups randomly. In the treatment group, the three-cavenutrient-canal＇s one end was placed in stomach to drain gastric juice, the other end was in jejunum beyond the trial＇s ligament 20 cm to give enteral nutrition, the third end was filled with gas to prevent nutrition＇s back flow. But in the control group, the common stomach tube was placed in stomach to give nutrition. Their clinical indexes were observed. Results The differences between the treatment group and the control group had statistical significance （P 〈 0. 05, P 〈 0. 01, P 〈 0. 001 ）, except that fatality was 5.0% （1/20） VS 15% （3/20） （P〉0.05）. Conclusions The three-cave-nutrient-canal in enteral nutrition in severe acute pancreatitis can not only rest the pancreas but also give enteral nutrition, therefore, the clinical effect is very satisfactory.