CAJ | 학술논문

目的：探讨早期肠内营养（EN）对急性重症胰腺炎（SAP）预后的影响。方法将58例SAP患者随机分为EN组（试验组，n＝30）和经中心静脉全肠外营养（TPN）组（对照组，n＝28），试验组经鼻空肠管（远端放置于Treitz韧带下）行营养支持，对照组行T PN支持，观察两组在并发症发生率、感染率、病死率、住院时间及住院费用的差异。结果试验组均能耐受EN ，且并发症发生率、感染率、住院时间及住院费用均明显低于对照组，差异有统计学意义（P＜0．05）；试验组患者的病死率低于对照组，但差异无统计学意义（P＞0．05）。结论 EN支持治疗可以改善SAP患者的营养状况，降低并发症发生率、感染率、住院时间及住院费用。
목적：탐토조기장내영양（EN）대급성중증이선염（SAP）예후적영향。방법장58례SAP환자수궤분위EN조（시험조，n＝30）화경중심정맥전장외영양（TPN）조（대조조，n＝28），시험조경비공장관（원단방치우Treitz인대하）행영양지지，대조조행T PN지지，관찰량조재병발증발생솔、감염솔、병사솔、주원시간급주원비용적차이。결과시험조균능내수EN ，차병발증발생솔、감염솔、주원시간급주원비용균명현저우대조조，차이유통계학의의（P＜0．05）；시험조환자적병사솔저우대조조，단차이무통계학의의（P＞0．05）。결론 EN지지치료가이개선SAP환자적영양상황，강저병발증발생솔、감염솔、주원시간급주원비용。
Objective To investigate the effect of early enteral nutrition on prognosis of severe acute pancreatitis (SAP) .Methods Fifty-eight patients with SAP were randomly divided into early enteral nutrition group (experimental group ,n=30) and total par-enteral nutrition(TPN) group(control group ,n=28) .The experimental group was feed by Nose-jejunum nutrition tube and the con-trol group were supported with TPN through central vena .Compared the differences in complication incidence rate ,infection rate , mortality rate ,length of hospital stay and costs between two groups .Results The incidence rate of complications ,infection rate , length of hospital stay and hospital costs in experimental group were lower than control group ,the difference was statistically sig-nificant(P<0 .05) .The mortality in experimental group was lower than control group ,but the difference was not statistically sig-nificant(P>0 .05) .Conclusion Early enteral nutrition support therapy can improve the nutritional status of patients with SAP ,re-duce the incidence of complications ,infection ,length of hospital stay and hospital costs .