CAJ | 학술논문

目的：评估在急性重症胰腺炎的治疗中应用空肠营养的效果。方法选择2001年12月～2008年12月收治的急性重症胰腺炎患者共31例为对照组，给予常规治疗；选择2008年12月～2013年12月收治的急性重症胰腺炎的患者共31例作为观察组，在常规治疗基础上加用空肠营养，比较两组治疗过程中的营养指标等好转情况以及不良反应的发生情况。结果经治疗2 w后，两组营养指标均有所好转，但观察组的好转情况明显优于对照组（P＜0．05），且观察组的胃肠道功能、血淀粉酶、尿淀粉酶恢复至正常的时间以及住院总时间明显短于对照组（ P＜0．05）。两组治疗过程中均无明显严重并发症发生，所有患者均痊愈出院。结论空肠营养治疗急性重症胰腺炎的安全性好，操作难度小，所需营养液的配制简单，可有效增加患者症状改善速度，明显缩短住院时间，减少医疗费用，患者易于接受，值得临床推广。
목적：평고재급성중증이선염적치료중응용공장영양적효과。방법선택2001년12월～2008년12월수치적급성중증이선염환자공31례위대조조，급여상규치료；선택2008년12월～2013년12월수치적급성중증이선염적환자공31례작위관찰조，재상규치료기출상가용공장영양，비교량조치료과정중적영양지표등호전정황이급불량반응적발생정황。결과경치료2 w후，량조영양지표균유소호전，단관찰조적호전정황명현우우대조조（P＜0．05），차관찰조적위장도공능、혈정분매、뇨정분매회복지정상적시간이급주원총시간명현단우대조조（ P＜0．05）。량조치료과정중균무명현엄중병발증발생，소유환자균전유출원。결론공장영양치료급성중증이선염적안전성호，조작난도소，소수영양액적배제간단，가유효증가환자증상개선속도，명현축단주원시간，감소의료비용，환자역우접수，치득림상추엄。
Objective To evaluate the effects of enteral nutrition in the treatment of severe acute pancreatitis .Methods 62 cases with severe acute pancreatitis hospitalized from Dec .,2001 to Dec.,2008 were selected and divided into 2 groups:observation group and control group ,31 in each;routine treatment was given to all the cases in both groups ,while the enteral nutrition was added to cases in observation group;nutrition indicators and side-effects of the cases in both groups were compared .Results 2 weeks after treatment,the nutrition indicators of both groups were improved ,while the improvement in the observation group was much superior to that in the control group(P<0.05);the time for gastrointestinal function ,serum amylase levels,urine amylase turned to normal and the time of hospitalization in observation group were much shorter than those in control group (P<0.05).No severe complications occurred in both groups and all the cases recovered and discharged .Conclusions The application of enteral nutrition to the treatment of severe acute pancreatitis is safe and simple-operated and the nutrient solution can be easily prepared;it can improve the symptom ,shorten the hospital duration ,reduce expenses and can be easily accepted by patients ,it is worthy of wider clinical application .