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目的观察早期肠内营养在重症急性胰腺炎(SAP)治疗中的效果。方法将70例重症急性胰腺炎患者随机分为两组,对照组35例采用常规治疗,治疗组35例在此基础上加用肠内营养支持,观察两组血淀粉酶恢复时间、尿淀粉酶恢复时间、住院时间、多器官功能衰竭发生率以及血清清蛋白、前清蛋白治疗前后变化情况。结果治疗组血清清蛋白和前清蛋白水平均高于对照组;治疗组血淀粉酶恢复时间、尿淀粉酶恢复时间、住院时间、多器官功能障碍发生率方面均低于对照组,差异均有统计学意义(P<0.01或P<0.05)。结论早期肠内营养支持对重症急性胰腺炎治疗效果优于常规治疗。
Objective To observe the effect of early enteral nutrition in the treatment of severe acute pancreatitis (SAP). Methods Seventy patients with severe acute pancreatitis were randomly divided into two groups. 35 patients in the control group were treated by conventional therapy. 35 patients in the treatment group were enrolled on the basis of enteral nutrition support. Blood amylase recovery time, urinary amylase Recovery time, length of hospital stay, multiple organ failure and serum albumin, pre-albumin changes before and after treatment. Results The levels of serum albumin and prealbumin in the treatment group were higher than those in the control group. The recovery time of amylase, urinary amylase, urinary amylase, hospital stay and incidence of multiple organ dysfunction were lower in the treatment group than those in the control group Statistical significance (P <0.01 or P <0.05). Conclusion Early enteral nutrition support is superior to conventional treatment in severe acute pancreatitis.