对急性胰腺炎恢复进食时间的研究

Study on the time of resumed feed in acute pancreatitieas

目的研究急性胰腺炎患者恢复进食的合适时间。方法急性胰腺炎患者60例,随机分为三组:3 d进食组20例,5 d进食组20例,7 d进食组20例,所有患者均给予抗感染、抑酸、抑酶、补液等治疗,采用不同时间恢复进食,住院第10天观察患者C反应蛋白、血沉、白细胞变化情况,并进行住院时间比较,评价恢复进食的合适时间。结果通过观察,发现住院第10天三组患者血沉、白细胞水平相比差异无统计学意义(P>0.05),5 d进食组、7 d进食组的C反应蛋白水平相比差异无统计学意义(P>0.05),3 d进食组C反应蛋白水平高于其他两组,差异有统计学意义(P<0.05),5 d进食组、7 d进食组住院时间差异无统计学意义(P>0.05),3 d进食组住院时间长于其他两组,差异有统计学意义(P<0.05)。结论急性胰腺炎患者尽早恢复进食,在住院第5天左右恢复进食较为合适。

Objective To study the right time of resumed feed in the patients with acute pancreatitieas. Methods A total of 60 patients with acute pancreatitieas were randomly divided into three groups. 20 cases resumed eating on the third day （3 d feed group）, 20 cases resumed eating on the fifth day （5 d feed group）, 20 cases resumed eating on the seventh day （7 d feed group）. All cases were treated with anti-infection, inhibiting acid, fluid replacement, and so on. Each group resumed feed at different time. C-reactive protein, erythrocyte sedimentation rate, and white blood cell were observed on the tenth day. The hospital stays were compared to evaluate the right time of resuming eating. Results The level of erythrocyte sedimentation rate and white blood cell of three groups were similar in the tenth day. There were no statistically significant difference （P〉0.05）;The levels of C-reactive protein in the 5 d feed group and the 7 d feed group were similar, and there was no statistically significant difference （P〉0.05）;The level of C-reactive protein in the 3 d feed group was higher than that in other two groups, and the difference was statistically significant （P〈0.05）. The hospital stays of the 5 d feed group and the 7 d feed group was similar, and there was no statistically significant difference （P〉0.05）;the hospital stays of the 3 d feed group was longer than other two groups, and the difference was statistically significant （P〈0.05）. Conclusion The patients with acute pancreatitieas should resume eating as early as possible, and it is suitable to resume taking food around the fifth day in hospital.