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目的探讨对重症胰腺炎(SAP)患者实施营养支持治疗的临床效果。方法选取2014年1月至2015年1月朝阳市中心医院收治的60例SAP患者作为研究对象,按随机数字表法将其分为对照组和观察组,各30例。对照组患者给予全肠外营养,观察组患者采取肠外营养联合肠内营养,比较两组患者的天冬氨酸转氨酶(AST)、血钙、血清清蛋白(Alb)、总蛋白(TP)、住院时间、住院费用及感染情况。结果观察组患者血清TP、Alb、血钙水平均明显高于对照组,AST水平明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者的住院费用、继发感染率均明显低于对照组,住院时间明显短于对照组,差异均有统计学意义(均P<0.05)。结论肠内营养联合肠外营养支持治疗SAP患者临床效果明显,能明显改善患者的临床症状,减少住院费用,缩短住院时间,降低感染发生率。
Objective To investigate the clinical effect of nutritional support on patients with severe pancreatitis (SAP). Methods Sixty SAP patients from January 2014 to January 2015 in Chaoyang Central Hospital were enrolled in this study. The patients were divided into control group and observation group according to random number table method, 30 cases in each group. The patients in the control group were given parenteral nutrition. The patients in the observation group were given parenteral nutrition combined with enteral nutrition. The levels of aspartate aminotransferase (AST), serum calcium, serum albumin (Alb), total protein (TP) , Length of stay, cost of hospitalization and infection. Results The levels of serum TP, Alb and serum calcium in the observation group were significantly higher than those in the control group, and the levels of AST in the observation group were significantly lower than those in the control group (all P <0.05). The hospitalization costs, secondary infection Rates were significantly lower than the control group, hospitalization was significantly shorter than the control group, the difference was statistically significant (P <0.05). Conclusion The clinical effect of enteral nutrition combined with parenteral nutrition support for patients with SAP is obvious, which can significantly improve the clinical symptoms, reduce hospitalization costs, shorten the hospital stay and reduce the incidence of infection.