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目的:探讨肠内营养支持在胆源性胰腺炎治疗中的作用效果。方法:将124例确诊为ABP患者随机分为两组,研究组62例于入院72小时经鼻肠管给予肠内营养支持治疗,对照组62例入院后经中心静脉置管给予肠外营养。两组常规治疗相同,治疗7天后,比较两组并发症、感染发生率,肛门排气时间及住院费用;同时对比血白细胞总数、血淀粉酶、血脂肪酶、血钙及血清白蛋白水平。结果:研究组感染和并发症发生率、住院费用、肛门排气时间与对照组比较,差异有显著性(P<0.05)。研究组治疗后白细胞总数、血淀粉酶、血脂肪酶、血清白蛋白及血钙均显著优于对照组(t=5.511,4.332,8.612,9.631,3.942,均P<0.05)结论:肠内营养支持在胆源性胰腺炎治疗中操作简便,不良反应少,临床效果显著。
Objective: To investigate the effect of enteral nutrition in the treatment of biliary pancreatitis. Methods: 124 patients diagnosed as ABP were randomly divided into two groups. The study group was given enteral nutrition support by enteral nutrition at 72 hours after admission. In the control group, 62 patients were given parenteral nutrition via central venous catheter after admission. The two groups of conventional treatment were the same. After 7 days of treatment, complication, infection rate, anal exhaust time and hospitalization expense were compared. The total number of white blood cells, blood amylase, blood lipase, serum calcium and serum albumin were also compared. Results: The incidence of infection and complication, hospitalization cost and anal exhaust time in the study group were significantly different from those in the control group (P <0.05). The total number of leukocytes, serum amylase, lipase, serum albumin and serum calcium of the study group were significantly better than those of the control group (t = 5.511,4.332,8.612,9.631,3.942, all P <0.05) Conclusion: Enteral nutrition Support in the treatment of biliary pancreatitis is simple, less adverse reactions, the clinical effect is significant.