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目的:探讨早期肠内营养在重症急性胰腺炎治疗中的应用价值。方法:将重症急性胰腺炎患者30例分为实验组和对照组,对照组予以常规治疗,实验组在常规治疗的基础上通过鼻空肠管予以早期肠内营养,记录患者WBC、CRP、血淀粉酶、尿淀粉酶恢复时间、白蛋白变化情况、感染率、病死率、并发症发生率、住院时间、住院费用等。结果:实验组WBC、CRP、血淀粉酶、尿淀粉酶恢复时间较对照组明显低,有显著性差异(P<0.05);实验组血清白蛋白升高较对照组明显高,有显著性差异(P<0.05);实验组感染率、病死率、并发症发生率较对照组明显低,但无显著差别(P>0.05);实验组住院时间、住院费用较对照组低,有显著性差异(P<0.05)。结论:早期肠内营养可以改善急性重症胰腺炎营养状况,缩短病程、减低感染率、病死率、并发症发生率、住院时间及住院费用。
Objective: To explore the value of early enteral nutrition in the treatment of severe acute pancreatitis. Methods: Thirty patients with severe acute pancreatitis were divided into experimental group and control group. The control group was treated routinely. The experimental group received early enteral nutrition by nasal jejunum on the basis of routine treatment. The WBC, CRP, Enzyme, urinary amylase recovery time, albumin change, infection rate, fatality rate, complication rate, length of stay, cost of hospitalization and so on. Results: The recovering time of WBC, CRP, blood amylase and urinary amylase in experimental group was significantly lower than that in control group (P <0.05); the serum albumin in experimental group was significantly higher than that in control group, with significant difference (P <0.05). The infection rate, fatality rate and complication rate of the experimental group were significantly lower than those of the control group, but there was no significant difference (P> 0.05). The hospitalization cost and hospitalization cost of the experimental group were lower than the control group (P <0.05). Conclusion: Early enteral nutrition can improve the nutritional status of acute severe pancreatitis, shorten the course of disease, reduce the infection rate, mortality, the incidence of complications, hospitalization and hospitalization costs.