重症急性胰腺炎的早期肠内营养治疗的临床观察

Clinical Observation of Morning Enteral Nutrition Support in Severe Acute Pancreatitis

目的观察重症急性胰腺炎(SAP)早期肠内营养治疗的疗效。方法SAP患者54例,分为治疗组(28例)和对照组(26例)。治疗组在入院72h,肠麻痹解除之后,给予空肠内营养(EN)治疗。对照组给予常规治疗,部分病人给予肠外营养治疗。结果对照组和治疗组治愈率分别是75.3%和84.2%,继发感染率分别为76.9%和37.4%,住院平均天数37d和26d,经统计学分析差异均有显著性(P<0.01)。结论早期进行肠内营养治疗可显著提高SAP的治愈率,降低感染率,减少并发症的发生,并缩短住院时间。

Objective To observation the curative effect of morning enteral nutrition support in severe acute pancreatitis. Methods patients were divided into treatment group（28 patients） and control group（26 patients）, After admission for 72 hour,When the patients enteroparalysis already anesised, administration enteral nutrition（EN）,The control group administration symptomatic treatment. Percentage of the control group administration parenteral nutrition.Results The cure rate of the control group and the treatment group discern were 75.3% and 84.2%,The secondary infection rate discern were 76.9% and 37.4%,The average of hospitalization days were 37d and 26d, To go through by statistics,the result had significance of difference （P〈0.01）.Conclusion Morning enteral nutrition support could predominance elevation SAP The cure rate, Also could cut down of the infection rate, The complication could be decreased and shorted hospitalization time.