经鼻胃管肠内营养在重症急性胰腺炎病人的应用

The application of enteral nutrition by nasogastric tube in severe acute pancreatitis

目的:探讨经鼻胃管肠内营养(EN)在重症急性胰腺炎(SAP)的应用价值。方法:对80例愿意接受EN治疗的SAP病人,在给予常规治疗的同时随机分为经鼻胃管EN(鼻胃管)组和经鼻空肠管EN(鼻空肠管)组,每组40例。比较两组病人治疗过程中的血淀粉酶、白细胞计数、C反应蛋白、清蛋白、空腹血糖、三酰甘油、消化道不良反应、平均住院时间、并发症和死亡情况。结果:两组病人营养支持1周、2周后的血淀粉酶、血常规、C反应蛋白、清蛋白、空腹血糖、三酰甘油、消化道不良反应、平均住院时间、并发症等均无显著性差异。结论:经鼻胃管EN是一种简便、安全、有效、更易被病人接受的肠内营养治疗方式。

Objective： To discuss the value of enteral nutrition by nasogastric tube in severe acute pancreatitis. Methods： 80 patients of severe acute pancreatitis were randomly divided into 2 groups：the nasogastric tube group（ n = 40） and the nasal jejunal tube group（ n = 40）. The blood amylase,blood routine,c-reactive protein,albumin,fasting glucose,triglycerides,gastrointestinal adverse reactions,the average length of hospital stay and the incidence of complications were compared. Results： After 1 or 2weeks of nutrition support,the blood amylase,blood routine,c-reactive protein,albumin,fasting glucose,triglycerides,gastrointestinal adverse reactions,the average length of hospital stay and the incidence of complications in two groups of patients had no statistical significant difference. Conclusion： Nasogastric tube enteral nutrition is a convenient,safe,effective nutrition way.