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目的探讨两种应用方式在重症急性胰腺炎(SAP)患者中的价值。方法将2011年2月至2013年12月龙州县人民医院收治的46例SAP患者随机分为两组,对照组22例在常规对症支持处理的同时采取全肠外营养(TPN)治疗,实验组给予肠内营养(EN)治疗,观察比较两组患者开始经口进食时间、住院时间、住院费用、感染率、并发症发生率、病死率以及C-反应蛋白(CRP)、血清白蛋白变化情况。结果实验组开始经口进食时间和住院时间均明显短于对照组,住院费用明显低于对照组(P<0.05);实验组并发症发生率明显低于对照组(P<0.05);两组治疗后CRP水平均呈逐渐下降趋势,而血清白蛋白均呈逐渐上升趋势,但与对照组相比较,实验组CRP和血清白蛋白改善更为明显(P<0.05)。结论与TPN相比,EN应用于SAP患者可改善营养状况,减少并发症。
Objective To explore the value of two kinds of application in patients with severe acute pancreatitis (SAP). Methods Forty-six patients with SAP who were treated in Longzhou County People’s Hospital from February 2011 to December 2013 were randomly divided into two groups. Twenty-two of the control group received TPN (total parenteral nutrition) Group were given enteral nutrition (EN) treatment. The oral intake time, hospitalization time, hospitalization cost, infection rate, complication rate, mortality and C-reactive protein (CRP), serum albumin Happening. Results The oral intake time and hospitalization time in the experimental group were significantly shorter than those in the control group, and the hospitalization costs were significantly lower than those in the control group (P <0.05). The incidence of complications in the experimental group was significantly lower than that in the control group (P <0.05) After treatment, CRP levels showed a gradual downward trend, while serum albumin showed a gradual upward trend, but compared with the control group, CRP and serum albumin in the experimental group improved more significantly (P <0.05). Conclusion Compared with TPN, EN applied to SAP patients can improve nutritional status and reduce complications.