早期肠内营养对重症急性胰腺炎病人营养状况和预后影响

The effect and nutritional status of early jejunal tube feeding on the severe acute pancreatitis

目的:观察早期肠内营养(EEN)对重症急性胰腺炎(SAP)病人营养状况和预后的影响。方法:回顾分析本院近4年收治的38例SAP病人EEN和综合治疗情况,监测其并发症和临床生化指标变化,判断临床应用效果。结果:EEN组病人的并发症和生化指标等均低于对照组,同时在缩短病程、降低费用、改善机体营养状况方面有较好的临床效果。结论:EEN可改善SAP病人的营养状况,促进肠蠕动恢复,降低感染等并发症的发生率。

Objective： To evaluate the effect of early jejunal tube feeding support on nutritional condition and prognosis of the severe acute pancreatitis patients.Methods：The clinical data of 38 patients of the severe acute pancreatitis with EEN from October 2005 to October 2009.Results： The incidence of infective complication in EEN group was 15.52% and 29.31% in non-EEN group;There was a significant difference in nutrition index and biochemistry index between two groups（P〈0.05）.The mental status and physical capacity were better in EEN group than in control group and the levels of BW,PA and ALB in EEN group were higher than in control group（P〈0.05）.The rcovery time of normal bowl movement and hospital stay days were significantly shortened in EEN group as compared with control group（P〈0.05）.Conclusion： The application of the early jejunal tube feeding support is important to the severe acute pancreatitis patients.