中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
11期
35-36
,共2页
重症急性胰腺炎%营养支持%肠内营养%肠外营养
重癥急性胰腺炎%營養支持%腸內營養%腸外營養
중증급성이선염%영양지지%장내영양%장외영양
Severe acute pancreatitis%Nutritional support%Enteral nutrition%Parenteral nutrition
目的：观察肠外营养(PN)和肠内营养(EN)在重症急性胰腺炎治疗中的效果。方法：将78例重症急性胰腺炎患者随机分为观察组和对照组，分别予以肠内营养支持和肠外营养支持，对比两组疗效。结果：观察组住院时间短于对照组，并发症发生率低于对照组，差异具有统计学意义(P＜0.05)；两组治疗后C反应蛋白均比治疗前有明显改善，观察组血清白蛋白及丙氨酸氨基转移酶(ALT)变化程度明显优于对照组(P＜0.05)，血钙、血糖则差异无统计学意义(P＞0.05)。结论：为更好地改善患者营养状况、降低并发症发生率，尽量选择肠内营养。
目的：觀察腸外營養(PN)和腸內營養(EN)在重癥急性胰腺炎治療中的效果。方法：將78例重癥急性胰腺炎患者隨機分為觀察組和對照組，分彆予以腸內營養支持和腸外營養支持，對比兩組療效。結果：觀察組住院時間短于對照組，併髮癥髮生率低于對照組，差異具有統計學意義(P＜0.05)；兩組治療後C反應蛋白均比治療前有明顯改善，觀察組血清白蛋白及丙氨痠氨基轉移酶(ALT)變化程度明顯優于對照組(P＜0.05)，血鈣、血糖則差異無統計學意義(P＞0.05)。結論：為更好地改善患者營養狀況、降低併髮癥髮生率，儘量選擇腸內營養。
목적：관찰장외영양(PN)화장내영양(EN)재중증급성이선염치료중적효과。방법：장78례중증급성이선염환자수궤분위관찰조화대조조，분별여이장내영양지지화장외영양지지，대비량조료효。결과：관찰조주원시간단우대조조，병발증발생솔저우대조조，차이구유통계학의의(P＜0.05)；량조치료후C반응단백균비치료전유명현개선，관찰조혈청백단백급병안산안기전이매(ALT)변화정도명현우우대조조(P＜0.05)，혈개、혈당칙차이무통계학의의(P＞0.05)。결론：위경호지개선환자영양상황、강저병발증발생솔，진량선택장내영양。
Objective:To observe the effects of parenteral nutrition(PN) and enteral nutrition(EN) in the treatment of severe acute pancreatitis.Methods:78 patients with severe acute pancreatitis were randomly divided into the observation group and the control group.They were respectively given enteral nutrition support and parenteral nutrition support.The curative effects of two groups were compared.Results:The hospitalization time of the observation group was shorter than that of the control group,and the incidence rate of complications was lower than that of the control group(P<0.05),the difference was statistically significant(P<0.05).The C reactive protein after treatment in two groups were significantly improved than that before treatment,the serum albumin and alanine aminotransferase(ALT) changes of the observation group were significantly larger than those of the control group(P<0.05).The blood calcium, blood glucose had no significant difference(P>0.05).Conclusion:About the nutritional support in severe acute pancreatitis,we try to choose the enteral nutrition to better improve the nutritional status of patients and reduce the incidence rate of complications.
