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[目的]观察肠内和肠外营养结合治疗重症急性胰腺炎(SAP)的疗效。[方法]将60例患者随机分为2组,均经内科保守治疗,使胰腺炎急性期反应得到控制后,治疗组33例给予肠内和肠外营养结合治疗;对照组27例给予全胃肠外营养(TPN)。[结果]治疗组血清前清蛋白营养指标高于对照组,各时间点内毒素水平?并发症发生率?死亡率均低于对照组。[结论]肠内营养结合肠外营养的方法维护了SAP患者良好的营养状况及内环境稳定,优于TPN方式。
[Objective] To observe the efficacy of enteral and parenteral nutrition in the treatment of severe acute pancreatitis (SAP). [Method] 60 patients were randomly divided into two groups, all were conservative treatment of internal medicine so that the acute phase of pancreatitis response was controlled, the treatment group of 33 patients given enteral and parenteral nutrition treatment; control group of 27 patients given the whole stomach Parenteral nutrition (TPN). [Result] The pretreatment serum albumin nutrition index was higher in the treatment group than in the control group. The endotoxin level, the complication rate and the mortality rate in the treatment group were all lower than those in the control group. [Conclusion] Enteral nutrition combined with parenteral nutrition maintained the good nutritional status and internal environment stability of patients with SAP, which was better than that of TPN.