早期空肠内营养治疗SAP的疗效观察

Clinical observation of early jejunal nutrition in the treatment of SAP

目的探讨早期空肠内营养治疗急性重症胰腺炎(SAP)的临床价值。方法将SAP患者36例分为治疗组20例和对照组16例,两组均按常规标准治疗。治疗组在此基础上入院24小时内安置空肠营养管并行早期空肠内营养治疗,并对两组入院时与治疗2周后的营养指标(体重指数、血清白蛋白、血红蛋白)和临床效果(肠道恢复时间、血淀粉酶和尿淀粉酶恢复时间、住院天数)进行对比统计分析。结果 2周后治疗组在营养指标和临床效果方面明显高于对照组,统计分析显示差异有统计学意义(P<0.05)。结论早期空肠内营养对SAP治疗具有特别重要的临床意义,疗效明显优于空肠外营养,值得临床推广应用。

Objective To investigate the clinical value of early jejunal nutrition in severe acute pancreatitis. Methods 36 cases of SAP patients were divided into treatment group and control group. 20 cases of the treatment group within 24,hours of admission placement of jejunostomy feeding tube parallel early jejunal nutrition therapy, were admitted to hospital after two weeks of treatment, nutrition indicators （body mass index, serum albumin, hemoglobin） and clinical effect （intestinal recovery time, serum amylase and urine amylase recovery time, hospital days） compared statistical analysis. Results Two weeks after the treatment group in nutritional indicators and clinical effect was significantly higher, statistical analysis shows that the difference was statistically significant （P〈0. 05）. Conclusion Early jejunal nutrition on SAP therapy have a particularly important clinical significance, were significantly better than the jejunum nutrition, it is worthy of clinical application.