对急性重症胰腺炎患者进行早期肠内营养支持的效果研究

Effect of early enteral nutrition for the patients with severe acute pancreatitis

目的:对急性重症胰腺炎(SAP)患者进行早期肠内营养(EN)支持的临床效果。方法:将2016年3月至2017年3月期间德阳市罗江区人民医院收治的48例SAP患者作为研究对象。将这48例患者平均分为对照组和研究组。对两组患者均进行对症治疗及全面护理。在此基础上,对对照组患者进行延迟EN支持,对研究组患者进行早期EN支持。然后,比较两组患者的各项临床指标及其EN相关并发症的发生率。结果:经过治护,与对照组患者相比,研究组患者的AMS(血淀粉酶)水平恢复正常的时间、UAMY(尿淀粉酶)水平恢复正常的时间和住院的时间均更短,其TP(血清总蛋白)的水平和ALB(白蛋白)的水平均更高,P<0.05。结论:对SAP患者进行早期EN支持的效果显著,可明显缩短其治疗的时间,促进其康复。

Objective： To study the clinical effect of early enteral nutrition（EN） support in patients with acute severe pancreatitis（SAP）. Methods： 48 SAP patients admitted to people＇s hospital of luojiang district, deyang city from March 2016 to March 2017 were studied. The 48 patients were divided, on average, into a control group and a study group. Symptomatic treatment and comprehensive nursing were performed for both groups. On this basis, delayed EN support was given to patients in the control group and early EN support was given to patients in the study group. Then, the clinical indicators and the incidence of en-related complications were compared between the two groups. Results： compared with the control group, AMS（blood amylase） level returned to normal, UAMY（urine amylase） level returned to normal and hospitalization time were shorter in the study group after treatment and treatment, and both TP（total serum protein） level and ALB（albumin） level were higher in the study group, P〈0.05. Conclusion： early EN support for SAP patients can significantly shorten the treatment time and promote their rehabilitation.