论文部分内容阅读
[目的]探究重症急性胰腺炎(SAP)患者应用肠内营养(EN)和全胃肠外营养(TPN)的临床疗效,并为该病治疗积累经验。[方法]选取我院2010年2月~2013年7月收治的46例SAP患者,采取随机数字表法分为研究组和对照组,每组23例。对照组开展TPN给予营养支持,而研究组采取EN给予营养支持。记录2组治疗前及治疗后第2周末的血清前清蛋白、血清清蛋白、体质数,同时比较2组住院时间及医疗总花费。[结果]治疗2周后,研究组患者血清前清蛋白水平和清蛋白水平明显高于对照组,2组比较差异有统计学意义(P<0.05)。研究组患者的住院时间、住院期间总花费及并发症发生率均少于对照组(P<0.05)。[结论]对于重症急性胰腺炎患者,实施肠内营养可明显改善患者的营养状况,降低并发症发生率,缩短住院天数,减轻患者的家庭经济负担,值得在临床上进一步推广。
[Objective] To explore the clinical efficacy of enteral nutrition (EN) and total parenteral nutrition (TPN) in patients with severe acute pancreatitis (SAP) and to gain experience for the treatment of this disease. [Methods] Forty-six patients with SAP who were admitted to our hospital from February 2010 to July 2013 were randomly divided into study group and control group, with 23 cases in each group. The control group received TPN nutrition support, while the study group adopted EN to give nutritional support. The serum prealbumin, serum albumin and body mass of two groups before and after the second week of treatment were recorded. The length of hospitalization and total medical expenditure of two groups were also compared. [Results] After 2 weeks of treatment, serum albumin and serum albumin levels were significantly higher in the study group than in the control group, the difference between the two groups was statistically significant (P <0.05). The length of hospital stay, total cost of hospitalization and complication in study group were less than those in control group (P <0.05). [Conclusion] Enteral nutrition can significantly improve the nutritional status of patients, reduce the incidence of complications, shorten the length of stay in hospital and reduce the financial burden on families, which is worth further promotion in clinical practice.