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目的:探究分析早期肠内营养支持对重症急性胰腺炎患者腹内压的影响。方法:选取2014年6月至2016年7月我院收治的重症急性胰腺炎患者42例为研究对象,所有患者均采用综合治疗,随机分为采用早期肠内营养支持(住院48h后)的观察组(21例),与患者入院5d后采取的肠内营养支持的对照组(21例),两组均持续2周,比较分析两组患者的腹内压情况和APACHEII评分。结果:经过治疗和护理后,观察组患者的腹内压(13.18±2.85)mmHg,明显低于对照组的腹内压(16.21±1.31)mmHg,差异显著(P<0.05)。经过治疗后观察组的APACHEII评分明显低于对照组,差异显著(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具有一定的提升作用,且能够达到降低患者的腹内压情况,效果显著,值得临床推广实践。
Objective: To explore the effect of early enteral nutrition support on intra-abdominal pressure in patients with severe acute pancreatitis. Methods: Forty-two patients with severe acute pancreatitis admitted to our hospital from June 2014 to July 2016 were enrolled in this study. All the patients were treated with comprehensive treatment and were randomly divided into observation group with early enteral nutrition support (48h after hospitalization) (N = 21) and control group (n = 21) enteral nutrition support after 5 days of admission. Both groups continued for 2 weeks. The intra-abdominal pressure and APACHEII scores were compared between the two groups. Results: After treatment and nursing, the intra-abdominal pressure (13.18 ± 2.85) mmHg in the observation group was significantly lower than that in the control group (16.21 ± 1.31) mmHg, with significant difference (P <0.05). The APACHEII score of the observation group after treatment was significantly lower than that of the control group (P <0.05). CONCLUSION: Early enteral nutrition support can improve the therapeutic effect of severe acute pancreatitis and reduce the patients’ intra-abdominal pressure, which is effective and worthy of clinical promotion.