急性重症胰腺炎肠道运动障碍对空肠-十二指肠反流的影响

Effect of intestinal dyskinesia in severe acute pancreatitis on jejunal-duodenal reflux

目的探讨急性重症胰腺炎(SAP)患者肠道运动障碍对空肠-十二指肠反流的影响。方法将200例SAP患者根据X线或数字减影血管造影技术(DSA)介入下经鼻空肠置管通过空肠的深度分为4组(10?20 cm L1组、20?30 cmL2组、30?40 cm L3组、40?60 cm L4组)。每组再根据肠道运动障碍程度分成4级。观察上述4组组内各级肠道运动障碍对空肠-十二指肠反流的影响。结果L1组、L4组组内各级运动障碍的肠道反流率比较,差异均无统计学意义(P〉0.05)。L2组、L3组组内各级运动障碍的肠道反流率比较,差异均有统计学意义(P<0.05)。结论急性重症胰腺炎患者肠道运动障碍可影响空肠-十二指肠反流。

Objective To investigate the effect of intestinal dyskinesia on jejunal-duodenal reflux in patients with acute severe pancreatitis(SAP).Methods A total of 200 SAP patients were divided into four groups(10?20 cm LI group,20?30 cm L2 group,30?40 cm L3 group,40?60 cm L4 group)according to the depth of jejunum insertion through nasal jejunum under the intervention of X-ray or Digital subtraction angiography(DSA).Each group was further divided into four grades according to the degree of intestinal dyskinesia.The effects of intestinal dyskinesia on jejunum-duodenum reflux in the above four groups were observed.Results There was no significant difference in intestinal reflux rate between LI group and L4 group(P>0.05).The difference of intestinal reflux rate between L2 group and L3 group was statistically significant(P<0.05).Conclusion Intestinal dyskinesia in patients with acute severe pancreatitis can affect jejunal-duodenal reflux.