重症急性胰腺炎不同肠内营养方式的应用

Study on the Application of Different Enteral Nutrition Methods in Patients with Severe Acute Pancreatitis

目的:观察经鼻胃管和经鼻空肠途径肠内营养在重症急性胰腺炎(SAP)中的应用效果及对临床预后的影响,以寻求安全有效的营养方式。方法:回顾性分析2016年9月-2018年9月本院行肠内营养支持的56例SAP患者的临床资料。根据肠内营养的不同方式分为鼻胃管组和鼻空肠管组,各28例。观察两组肠内营养治疗的相关并发症、感染并发症、器官衰竭、禁食时间、肠内营养持续时间、住院时间、住院费用、手术干预及死亡情况。结果:两组肠内营养相关并发症、感染并发症、器官衰竭发生率、禁食时间、肠内营养持续时间、住院时间、手术干预及死亡率比较,差异均无统计学意义(P>0.05),但鼻胃管组住院费用低于鼻空肠管组(P<0.05)。结论:鼻胃管与鼻空肠管肠内营养在营养相关并发症及感染并发症方面无差异,且操作方便,容易耐受,费用低廉,安全性好,具有代替鼻空肠管的可能性。

Objective:To observe the effect of enteral nutrition through nasogastric and nasojejunal tube on severe acute pancreatitis(SAP)and its effect on clinical prognosis in order to seek safe and effective nutrition.Method:The clinical data of 56 patients with SAP who received enteral nutrition support from September 2016 to September 2018 were retrospectively analyzed.According to the different ways of enteral nutrition,they were divided into nasogastric tube group and nasojejunal tube group,28 cases in each group.The complications,infection complications,organ failure,fasting time,duration of enteral nutrition,hospitalization time,hospitalization expenses,surgical intervention and mortality of two groups were observed.Result:The enteral nutrition-related complications,infection complications,incidence of organ failure,fasting time,duration of enteral nutrition,hospitalization time,surgical intervention and mortality in two groups were compared,the differences were not statistically significant(P>0.05),but the hospitalization cost of nasogastric tube group was lower than that of nasojejunal tube group(P<0.05).Conclusion:There is no difference in nutrition-related complications and infection complications between nasogastric tube and nasojejunal tube enteral nutrition,it is easy to operate,tolerable,inexpensive and safe,and nasogastric tube has the possibility of replacing nasojejunal tube.