CAJ | 학술논문

目的：比较早期肠内营养与延迟肠内营养治疗重症急性胰腺炎的临床疗效。方法：选取64例重症急性胰腺炎患者，随机分为治疗组和对照组，对照组仅给予延迟肠内营养，治疗组采用早期肠内营养，治疗后2周比较两组患者血清C反应蛋白、血清总蛋白、白蛋白、血淀粉酶恢复时间、尿淀粉酶恢复时间、急性生理性及慢性健康状况评分Ⅱ及住院时间。结果：与延迟肠内营养治疗相比，采用早期肠内营养支持可明显提高重症急性胰腺炎患者血清总蛋白、白蛋白，降低血清C反应蛋白、急性生理性及慢性健康状况评分Ⅱ，缩短血淀粉酶恢复时间、尿淀粉酶恢复时间及住院时间，两组相比差异显著，具有统计学意义（P＜0．05）。结论：采用早期肠内营养治疗重症急性胰腺炎疗效确切，值得临床推广使用。
목적：비교조기장내영양여연지장내영양치료중증급성이선염적림상료효。방법：선취64례중증급성이선염환자，수궤분위치료조화대조조，대조조부급여연지장내영양，치료조채용조기장내영양，치료후2주비교량조환자혈청C반응단백、혈청총단백、백단백、혈정분매회복시간、뇨정분매회복시간、급성생이성급만성건강상황평분Ⅱ급주원시간。결과：여연지장내영양치료상비，채용조기장내영양지지가명현제고중증급성이선염환자혈청총단백、백단백，강저혈청C반응단백、급성생이성급만성건강상황평분Ⅱ，축단혈정분매회복시간、뇨정분매회복시간급주원시간，량조상비차이현저，구유통계학의의（P＜0．05）。결론：채용조기장내영양치료중증급성이선염료효학절，치득림상추엄사용。
Objective To compare the therapeutic effects of early enteral nutrition and delayed enteral nutrition on severe acute pancreatitis. Methods Sixty-four patients of severe acute pancreatitis were enrolled into two groups: early enteral nutrition group was used as the treatment group and delayed enteral nutrition was used as the control group. Two weeks after the treatment, Variables of TP, ALB, CRP, APACHEⅡscore, hospital stay and recovery time of blood and urine amylase were compared between the two groups. Results The TP and ALB of the treatment group were significantly higher than those in the control group (P<0.05). The CRP and APACHEⅡscore of the treatment group were significantly lower than those in the control group (P<0.05). Compared with the control group, the recovery time of blood amylase, urine amylase and hospital stay were significantly shorter in the treatment group (P<0.05). Conclusion Using early enteral nutrition treatment in patients with severe acute pancreatitis is efficient, worthy of clinical use.