中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2013年
30期
18-19
,共2页
急性重症胰腺炎%肠内营养%临床效果
急性重癥胰腺炎%腸內營養%臨床效果
급성중증이선염%장내영양%림상효과
Severe acute pancreatitis%Enteral nutrition%Clinical effect
目的：：探讨早期肠内营养治疗重症胰腺炎的应用效果。方法：回顾性分析笔者所在医院2012年1月-2013年2月收治的50例急性重症胰腺炎患者的临床资料，根据患者住院治疗期间是否接受肠内营养治疗随机分为肠内营养组(EN组)和常规治疗组(常规组)，每组25例。观察两组临床治疗效果及临床指标的变化情况。结果：EN组患者血清学各项指标恢复时间明显比常规组短，两组比较差异有统计学意义(P<0.05)。EN组患者感染率8%，并发症发生率20%及病死率4%，常规组患者感染率68%，并发症发生率64%及病死率36%，两组比较差异均有统计学意义(P<0.05)。结论：对于急性重症胰腺炎患者早期应用肠内营养可以明显改善患者的临床治疗效果，降低感染率及病死率。
目的：：探討早期腸內營養治療重癥胰腺炎的應用效果。方法：迴顧性分析筆者所在醫院2012年1月-2013年2月收治的50例急性重癥胰腺炎患者的臨床資料，根據患者住院治療期間是否接受腸內營養治療隨機分為腸內營養組(EN組)和常規治療組(常規組)，每組25例。觀察兩組臨床治療效果及臨床指標的變化情況。結果：EN組患者血清學各項指標恢複時間明顯比常規組短，兩組比較差異有統計學意義(P<0.05)。EN組患者感染率8%，併髮癥髮生率20%及病死率4%，常規組患者感染率68%，併髮癥髮生率64%及病死率36%，兩組比較差異均有統計學意義(P<0.05)。結論：對于急性重癥胰腺炎患者早期應用腸內營養可以明顯改善患者的臨床治療效果，降低感染率及病死率。
목적：：탐토조기장내영양치료중증이선염적응용효과。방법：회고성분석필자소재의원2012년1월-2013년2월수치적50례급성중증이선염환자적림상자료，근거환자주원치료기간시부접수장내영양치료수궤분위장내영양조(EN조)화상규치료조(상규조)，매조25례。관찰량조림상치료효과급림상지표적변화정황。결과：EN조환자혈청학각항지표회복시간명현비상규조단，량조비교차이유통계학의의(P<0.05)。EN조환자감염솔8%，병발증발생솔20%급병사솔4%，상규조환자감염솔68%，병발증발생솔64%급병사솔36%，량조비교차이균유통계학의의(P<0.05)。결론：대우급성중증이선염환자조기응용장내영양가이명현개선환자적림상치료효과，강저감염솔급병사솔。
Objective:To explore the therapeutic efficacy of early enteral nutrition(EN) on severe acute pancreatitis(SAP).Method:To retrospectively analyse the clinical material of 60 patients who were diagnosed with SAP in our hospital from January 2012 to February 2013.All patients were randomly divided into the enteral nutrition(EN) group and the conventional treatment group.twenty-five patients in each group.To observe the changes of the clinical outcomes and clinical indicators of the two groups.Result:The serological indicators recovery time of the EN group was significantly shorter than that of the conventional group,and the difference about efficacy between the two groups had statistical significance(P<0.05).The infection rate of EN groups was 8%,the complications rate was 20%,and the death rate was 4%.The infection rate of the conventional treatment group was 68%,the complications rate was 64%,and the death rate was 36%.The difference about efficacy between the two groups had statistical significance(P<0.05).Conclusion:Patients with SAP treated with EN can improve the therapeutic outcomes significantly,it also decrease the infection rate and the death rate.
