现代妇女（医学前沿）
現代婦女（醫學前沿）
현대부녀（의학전연）
Modern Women（Frontiers of Medicine）
2014年
7期
63-64
,共2页
血库%规范化管理%输血安全
血庫%規範化管理%輸血安全
혈고%규범화관리%수혈안전
Enteral nutrition%Intestinal barrier protective agent%Severe acute pancreatitis%Catheters,Indwelling
探讨鼻空肠管早期肠内营养联合肠屏障保护剂应用于急性重症胰腺炎（SAP）患者的治疗与护理。入组62例SAP患者随机分为常规治疗组（A组）、鼻空肠管早期给予肠内营养组（B组）、，加用肠屏障保护剂的强化肠内营养组（C组）。观察症状和体征、生化指标恢复正常的时间，血清白蛋白差值以及3组住院时间及总住院费用。早期启动肠内营养的患者症状、体征、生化指标恢复正常的时间、血清白蛋白、住院时间、住院费用等均优于对照组；加用肠道屏障保护剂治疗的患者恢复时间更短，差异均有统计学意义；B,C两组的住院时间短于A组，住院费用少亦于A组，差异有统计学意义。应用鼻空肠管对SAP患者进行早期肠内营养联合肠屏障保护剂，可以改善患者的营养状况，促进早日恢复，缩短病程，减少总住院费用。
探討鼻空腸管早期腸內營養聯閤腸屏障保護劑應用于急性重癥胰腺炎（SAP）患者的治療與護理。入組62例SAP患者隨機分為常規治療組（A組）、鼻空腸管早期給予腸內營養組（B組）、，加用腸屏障保護劑的彊化腸內營養組（C組）。觀察癥狀和體徵、生化指標恢複正常的時間，血清白蛋白差值以及3組住院時間及總住院費用。早期啟動腸內營養的患者癥狀、體徵、生化指標恢複正常的時間、血清白蛋白、住院時間、住院費用等均優于對照組；加用腸道屏障保護劑治療的患者恢複時間更短，差異均有統計學意義；B,C兩組的住院時間短于A組，住院費用少亦于A組，差異有統計學意義。應用鼻空腸管對SAP患者進行早期腸內營養聯閤腸屏障保護劑，可以改善患者的營養狀況，促進早日恢複，縮短病程，減少總住院費用。
탐토비공장관조기장내영양연합장병장보호제응용우급성중증이선염（SAP）환자적치료여호리。입조62례SAP환자수궤분위상규치료조（A조）、비공장관조기급여장내영양조（B조）、，가용장병장보호제적강화장내영양조（C조）。관찰증상화체정、생화지표회복정상적시간，혈청백단백차치이급3조주원시간급총주원비용。조기계동장내영양적환자증상、체정、생화지표회복정상적시간、혈청백단백、주원시간、주원비용등균우우대조조；가용장도병장보호제치료적환자회복시간경단，차이균유통계학의의；B,C량조적주원시간단우A조，주원비용소역우A조，차이유통계학의의。응용비공장관대SAP환자진행조기장내영양연합장병장보호제，가이개선환자적영양상황，촉진조일회복，축단병정，감소총주원비용。
Objective To evaluate the therapeutic effect of early enteral nutrition and intestine barrier protective agen on severe acute pancreatitis (SAP).Methods 62 patients with severe acute pancreatitis were randomly divided into group A, group B, and group C .Patients in the group A were given conventional therapy, patients in the group B were given enteral nutrition by nasogastric feeding, patients in the group C were given enteral nutrition and intestine barrier protective agen by nasogastric feeding, The recovery time of symptom, physical sign , laboratory examina-tion, the change of body weight and serum- albumin, and the length of stay and the whole cost of hospitalization were compared between groups. Results there were significantly differences between A and B、C groups in the recovery time of symptom, physical sign and laboratory examina-tion , the cost of hospitalization and the length tine of symptom, physical sign and laboratory examination ,the cost of hospitalization and the length of stay (P<0.05). Significantly differences can be seen between B and C group in the recovery time of C- reactive Protein and White Blood Cell(P<0.05).And we also found significantly differences between A and B、C groups in the length of stay and the whole cost of hospital-ization(P<0.05) Conclusions Early enteral nutrition and intestine barrier protective agen on treatment of severe acute pancreatitis can improve the patients’nutriture, recovery, shorten lengh of stay and reduce the hospitalization cost.
