早期肠内营养支持对重症急性胰腺炎患者营养状态及康复效果的影响

Effects of early enteral nutrition support on nutritional status and rehabilitation of patients with severe acute pancreatitis

目的:探讨早期肠内营养支持在重症急性胰腺炎患者中的应用效果。方法:回顾性分析2019年7月至2021年7月我院收治的84例重症急性胰腺炎患者,将采取常规肠内营养支持的42例患者设为对照组,采取早期肠内营养支持的42例患者设为观察组。比较2组营养状态、机体恢复情况、急性生理和慢性健康状况(APACHEⅡ)评分及并发症发生情况。结果:2组入院时营养状态、APACHEⅡ评分比较,差异无统计学意义(P>0.05);出院时,观察组血清白蛋白、转铁蛋白、前白蛋白水平高于对照组,机体恢复时间短于对照组,APACHEⅡ评分低于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:早期肠内营养支持在重症急性胰腺炎患者中的运用效果确切,利于改善患者营养状态,促进病情恢复,减少并发症,改善患者预后。

Objective:To investigate the effects of early enteral nutrition support in patients with severe acute pancreatitis.Methods:A total of 84 patients with severe acute pancreatitis treated in our hospital from Jul 2019 to Jul 2021 were analyzed retrospectively.And 42 patients with routine enteral nutrition support were set as the control group and 42 patients with early enteral nutrition support were set as the observation group.The nutritional status,body recovery,acute physiology and chronic health evaluation(APACHEⅡ)score and complications were compared between the two groups.Results:There was no significant difference in nutritional status and APACHEⅡscore between the two groups at admission(P>0.05).At discharge,the levels of serum albumin,transferrin and prealbumin in the observation group were higher than those in the control group.The recovery time of the body was shorter,and the APACHEⅡscore and incidence of complications were lower in the observation group than those in the control group(P<0.05).Conclusion:Early enteral nutrition support is effective in patients with severe acute pancreatitis,which is conducive to improving the nutritional status,promoting the recovery of the disease,reducing complications and improving the prognosis of patients.