急性重症胰腺炎患者早期应用肠内营养的效果分析

Effect of Early Enteral Nutrition on Patients with Severe Acute Pancreatitis

目的探讨肠内营养在急性重症胰腺炎患者早期应用的效果。方法将急性重症胰腺炎患者35例随机分为肠内营养组(18例)和常规组(17例),观察两组治疗结果及临床指标的变化。结果肠内营养组治愈率为83.3%(15/18),常规组治愈率为64.7%(11/17),两组比较有显著性差异(P<0.05);肠内营养组平均住院天数显著缩短,住院费用明显减少,并发感染率、中转手术率、MODS发生率均显著低于常规组(P<0.05或P<0.01);病死率无明显差异。结论早期实施肠内营养支持是急性重症胰腺炎患者的有效治疗手段,起到积极的作用。

Objective To explore the effect of early enteral nutrition application on patients with severe acute pancreatitis.Methods 35 severe acute pancreatitis patients were randomly divided into two groups,the enteral nutrition group（18 cases） and the conventional group（17 cases）,the clinical outcomes of two groups were observed.Results The cure rate of the enteral nutrition group and the conventional group was 83.3%（15/18） and 64.7%（11/17） respectively,there was signif icant difference between the two groups（P0.05）.The hospitalization time and cost were signif icantly reduced,the infection rate,the operation rate and MODS rate were signif icantly lower in enteral nutrition group than in conventional group（P0.05 or P0.01）.But no obvious differences in mortality.Conclusion Early enteral nutrition support is one of the effective treatments and play a positive role in severe acute pancreatitis patients.