经鼻空肠早期营养降低急性重症胰腺炎并发症观察

The Clinical Studies of giving Nasojejunal Nutrition in Reducing the Complications of Severe Acute Pancreatitis

目的:探讨急性重症胰腺炎(SAP)经鼻空肠早期实施肠内营养的安全性、可行性和临床效果。方法:将收治的60例SAP患者随机分成2组,按照不同途径进行肠内营养支持。观察组30例采用鼻空肠管,对照组30例采用鼻胃管,比较两种不同肠内营养途径者APACHE-Ⅱ、血蛋白、CRP、腹胀症状、血淀粉酶、并发症、感染的发生率等指标。结果:观察组患者APACHE-Ⅱ、血蛋白、CRP均低于对照组(P<0.05);腹胀缓解、血淀粉酶恢复时间,并发症、感染发生率均低于对照组(P<0.05)。结论:对急性重症胰腺炎患者早期经鼻空肠管实施肠内营养支持是安全、可行、有效的。

Objective： To investigate the security, feasibility and clinical effects of the early giving enteral nutrition by nasojejunal for patients with severe acute pancreatitis. Methods：60 patients with severe acute pancreatitis were randomly divided into two groups. They were given enteral nutrition support in different ways ： observation group of 30 cases of nasojejunal tube, Control group of 30 cases of nasogastric tube. Analysed Apache- Ⅱ, Blood protein, CRP/Distension, Serum amylase, complication, Infection rate in two different enteral nutrition pathway. Result：In observation group Apache - Ⅱ , albumin, CRP were lower than in control group （ P 〈 0.05 ） ; abdominal distension ease , serum amylase recovery time, complications, infections were lower than in control group （P 〈 0. 05 ）. Conclusion： Severe acute pancreatitis in patients with early implementation of enteral nutrition by nasojejunal tube is safe, feasible and effective.