外伤性胰腺炎的营养支持治疗

The nutritional support treatment in the injured pancreatitis

目的 :探讨营养支持治疗对外伤性胰腺炎病人的作用。 方法 :回顾性分析该医院 1 992 - 2 0 0 1年收治的外伤性胰腺炎 2 5例 ,其中以 1 997- 2 0 0 1年采用营养支持治疗的 1 3例为研究组 ,1 992 - 1 996年未进行营养支持治疗的 1 2例为对照组。对血常规、血生化指标、并发症、住院时间、病死率进行对比分析。 结果 :研究组自营养支持第 2天起外周血白细胞总数、淀粉酶、血糖、转氨酶、尿素氮等开始下降 ,4～ 5天为最明显 ,6～ 7天大部分降至接近正常范围 ;研究组与对照组治疗前后淋巴细胞总数差异显著 (P <0 .0 5 ) ;住院时间平均缩短 1～ 4天 (死亡病例除外 ) ;并发症发生率低于对照组 (轻型病例除外 ) ,但病死率无明显差异 (P >0 .0 5 )。 结论 :营养支持治疗能有效提高外伤性胰腺炎病人的外周血淋巴细胞总数 ,改善肝肾功能 ,减少并发症 ,缩短住院天数。

Objectives:To explore the influence of nutritional support treatment on patients with the injured pancreatitis. Methods:The twenty five cases with injured pancreatitis were divided into research group (13 cases of 1997-2001, with nutrition support) and control group (12 cases of 1992-1996,without nutritional support). Blood composition, biochemistry, complications, hospitalization time and mortality were compared between two groups. Results:WBC, amylase, glucose, transaminase and BUN were beginning to decrease in two days, and reached to normal limits in 6～7 days in research group. Lymphocyte count after treatment in research group was significantly different ( P <0.05) from that in control group. The hospitalization time was averagely shortened for 1～4 days in research group.The incidence of complications in research group was obviously lower than that in control group.There was no difference in mortality between the two groups. Conclusions:The nutritional support treatment can effectively improve the outcome in the injured pancreatitis patients.