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目的:评价早期肠内营养支持对急性重症胰腺炎患者临床疗效的影响。方法:选取2014年12月—2015年12月期间收治的急性重症胰腺炎患者114例,将其随机分为对照组与观察组,每组57例;两组患者均给予常规治疗,在此基础上对照组患者给予肠外营养支持治疗,观察组患者在对照组基础上给予早期肠内营养支持治疗,比较两组患者用药后的总有效率及预后影响。结果:观察组患者用药后住院时间明显优于对照组(P<0.05),血红蛋白(Hb)值明显高于对照组(P<0.05);并发症的发生率、感染率及病死率均明显低于对照组(P<0.05)。结论:早期肠内营养支持较肠外营养支持能显著缩短急性重症胰腺炎患者的住院时间,提高其Hb值,且能降低其并发症发生率、感染率与疾病病死率。
Objective: To evaluate the effect of early enteral nutrition support on clinical efficacy in patients with acute severe pancreatitis. Methods: A total of 114 patients with acute severe pancreatitis admitted from December 2014 to December 2015 were randomly divided into control group and observation group, with 57 cases in each group. Both groups were given routine treatment. Based on this, Patients in the control group were given parenteral nutrition support. Patients in the observation group were given early enteral nutrition support on the basis of the control group. The total effective rate and the prognosis of the two groups were compared. Results: The hospitalization time in the observation group was significantly better than that in the control group (P <0.05), and the hemoglobin (Hb) was significantly higher than that in the control group (P <0.05). The incidence of complications, infection rate and mortality were significantly lower In the control group (P <0.05). CONCLUSION: Early enteral nutrition support compared with parenteral nutrition can significantly shorten the hospital stay of patients with acute severe pancreatitis, improve its Hb value, and can reduce its complication rate, infection rate and disease mortality.