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目的观察对急性重症胆源性胰腺炎患者应用肠内营养进行治疗的临床效果。方法回顾山东省陵县人民医院2006年10月至2010年12月,本科收治的66例急性重症胆源性胰腺炎患者临床资料,随机分为观察组与对照组,每组患者33例。对对照组33例患者应用肠外营养进行治疗,对观察组33例患者在X线下经鼻空肠管应用早期的肠内营养进行治疗。对两组患者治疗后的血淀粉酶与血白细胞,以及肠道功能的恢复情况与住院时间和费用等进行对比。结果观察组血淀粉酶与血白细胞的降低,明显快于对照组(P<0.05),并且肠道功能的恢复较对照组快(P<0.05),以及住院时间较对照组短(P<0.05),并且费用较对照组低(P<0.05)。结论对急性重症胆源性胰腺炎患者应用肠内营养进行治疗,临床症状能够较快缓解,疗效确切,并且住院的费用低、时间短,应予临床推广。
Objective To observe the clinical effect of enteral nutrition in patients with acute severe biliary pancreatitis. Methods The clinical data of 66 patients with acute severe biliary pancreatitis admitted to our hospital from October 2006 to December 2010 in Lingxian People’s Hospital of Shandong Province were retrospectively analyzed. They were randomly divided into observation group and control group, with 33 patients in each group. Thirty-three patients in the control group were treated with parenteral nutrition, and 33 patients in the observation group were treated with nasogastrointestinal jejunal early enteral nutrition under X-ray. After the treatment of two groups of patients with blood amylase and white blood cells, as well as the recovery of intestinal function and hospitalization time and cost were compared. Results The decrease of serum amylase and leukocyte in the observation group was significantly faster than that in the control group (P <0.05), and the recovery of intestinal function was faster than that in the control group (P <0.05) ), And lower costs than the control group (P <0.05). Conclusion The treatment of enteral nutrition in patients with acute severe biliary pancreatitis can relieve the clinical symptoms more quickly, have definite curative effect, and have the advantages of low cost and short time of hospitalization, and should be clinically popularized.