论文部分内容阅读
目的探讨早期经口进食和放置鼻空肠营养管两种方式治疗重症急性胰腺炎(severe acute pancreatitis,SAP)的价值。方法 48例SAP患者随机分为对照组与观察组各24例,对照组集束化治疗的基础上采取早期放置鼻空肠营养管进行肠内营养,观察组则给予早期经口进食,比较2组患者住院时间、腹腔感染发生率、病死率及肠内营养相关并发症发生率。结果观察组与对照组患者住院时间、腹腔感染发生率、病死率比较差异无统计学意义(P>0.05);观察组肠内营养相关并发症发生率明显低于对照组(P<0.05)。结论早期经口进食与放置鼻空肠营养管对SAP疗效相当,但肠内营养相关并发症发生率明显降低,更加有效。
Objective To investigate the value of nasal jejunal feeding tube in early oral administration and nasal jejunal feeding tube in the treatment of severe acute pancreatitis (SAP). Methods Forty-eight patients with SAP were randomly divided into control group and observation group, 24 cases in each group. The control group received enteral nutrition by early placement of nasojejunal feeding tube on the basis of cluster therapy, while the observation group received early oral intake. Length of hospital stay, incidence of abdominal infection, fatality rate, and incidence of complications associated with enteral nutrition. Results There were no significant differences in hospitalization time, the incidence of abdominal infection and the case fatality between the observation group and the control group (P> 0.05). The incidence of enteral nutrition-related complications in the observation group was significantly lower than that in the control group (P <0.05). Conclusion Early oral administration of nasal jejunal feeding tube and oral administration of the same efficacy of SAP, but the incidence of complications associated with enteral nutrition was significantly reduced, more effective.