重症急性胰腺炎早期肠内营养支持研究进展

Advances in research of early enteral nutrition of severe acute pancreatitis

重症急性胰腺炎(severe acute pancreatitis,SAP)是临床常见的一种急重症疾病,具有发病急、病情重、进展快等特点,常常威胁着病人的生命,一直是临床研究的重点和难点。而在治疗方式上选择早期及时有效的肠内营养能明显改善病人的预后,提高病人的生存质量,本文就SAP发病时胃肠道病理生理变化、早期肠内营养途径、时机及制剂的选择做一综述。

Severe acute pancreatitis is one of clinical common severe disease with acute onset, speedy development, severe illness status and rapid progression, usually threatening patient＇s life, which has been the emphasis and difficulty in clinical research. However, timely and effective early enteral nutrition can significantly improve the prognosis of patients and the quality of patients＇ lives. This thesis summarizes the gastrointestinal pathology and physiological changes about SAP, the way of early enteral nutrition, when and how to choose enteral nutrition.