重症急性胰腺炎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。方法将54例SAP患者分为治疗组(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,部分患者给予肠外营养治疗。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%,住院平均天数为37d和26d,两组比较差异均有统计学意义(P<0.05)。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 administration EN, the control group administration symptomatic treatment. 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%. Conclusion The enteral nutrition support could be decreased and shorted hospitalization time.