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目的:探讨经胃镜早期放置鼻空肠营养管肠内营养在重症胰腺炎(SAP)保守治疗中的作用。方法:回顾分析本院近3年来20例SAP患者,分为2组,对照组为传统保守治疗,试验组为在传统保守治疗的基础上给予空肠营养管肠内营养,对2组患者血尿淀粉酶变化、并发症发生率、死亡率、住院天数、住院费用等几方面进行比较。结果:置管组在缩短病程、降低费用、降低并发症、降低死亡率等方面有较好临床效果。结论:早期经鼻空肠营养管肠内营养在SAP保守治疗安全有效,对于降低并发症、死亡发生率作用显著,值得提倡。
Objective: To investigate the role of enteral nutrition in early nasal jejunal nutrition tube in the conservative treatment of severe pancreatitis (SAP) by gastroscope. Methods: A retrospective analysis of our hospital in the past 3 years, 20 cases of SAP patients, divided into two groups, the control group of traditional conservative treatment, the experimental group was given conservative treatment based on the jejunal nutrition tube enteral nutrition, two groups of patients with hematuria starch Enzyme changes, the incidence of complications, mortality, hospitalization days, hospital expenses and other aspects were compared. Results: The catheterization group had better clinical effect in shortening the course of disease, reducing the cost, reducing the complication and reducing the mortality rate. Conclusion: Early nasal jejunal nutrition tube enteral nutrition safe and effective in the conservative treatment of SAP, to reduce the incidence of complications, the incidence of significant role, it is worth promoting.