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目的:观察急性重症胰腺炎患者进行早期肠内及肠外营养治疗对疗效的影响。方法:选择76例急性重症胰腺炎患者,将其随机分为两组,治疗组(肠内营养组)和对照组(肠外营养组)均38例,两组患者在予禁食、水,抗休克,纠正和维持电解质平衡,胃肠减压或鼻胆管引流、抗感染、制酸、抑制胰液分泌等治疗的基础上,治疗组给予肠内营养治疗,对照组给予肠外营养治疗,治疗后比较两组患者的血清白蛋白、血清淀粉酶恢复时间及住院时间。结果:治疗后与治疗前相比,两组的血清白蛋白均明显升高(P<0.01),治疗组疗效明显优于对照组(P<0.05);治疗后两组的血清淀粉酶恢复时间及住院时间相比较,治疗组明显优于对照组(P<0.01)。结论:对急性重症胰腺炎患者进行早期肠内营养治疗,疗效显著。
Objective: To observe the effect of early enteral and parenteral nutrition therapy on patients with acute severe pancreatitis. Methods: A total of 76 patients with severe acute pancreatitis were selected and randomly divided into two groups. The treatment group (enteral nutrition group) and the control group (parenteral nutrition group) were 38 cases. The two groups were given fasting, water, Anti-shock, to correct and maintain electrolyte balance, gastrointestinal decompression or nasobiliary drainage, anti-infective, acid, inhibition of pancreatic secretion and other treatment based on the treatment group given enteral nutrition treatment, the control group was given parenteral nutrition treatment After two groups of patients serum albumin, serum amylase recovery time and hospital stay. Results: After treatment, the levels of serum albumin were significantly increased in both groups (P <0.01), and the therapeutic effect was better in the treatment group than in the control group (P <0.05). After treatment, serum amylase recovery time Compared with the hospitalization time, the treatment group was significantly better than the control group (P <0.01). Conclusion: Early enteral nutrition for patients with acute severe pancreatitis has significant curative effect.