CAJ | 학술논문

目的：：评价早期进食在轻症急性胰腺炎患者治疗中的安全性及有效性。方法：将76例轻症急性胰腺炎患者按照进食时间分为早期进食组(n=31)和对照组(n=45)。观察两组患者进食后腹痛的发生率及反映胰腺炎复发的各项指标的变化，并比较两组的腹痛缓解率、入住重症监护病房(ICU)率、最终病死率和平均住院时间的差异。结果：早期进食组和对照组患者在进食时间上差异有统计学意义(P <0.001)。两组相比，进食后腹痛的发生率及反映胰腺炎复发的各项指标水平均无明显差异(P 均>0.05)，而且腹痛症状缓解率、入住 ICU 率和最终病死率的差异也无统计学意义(P 均>0.05)。然而，早期进食组平均住院时间明显短于对照组(P <0.05)。结论：早期进食不影响轻症急性胰腺炎患者的病情恢复，且可以缩短住院时间。
목적：：평개조기진식재경증급성이선염환자치료중적안전성급유효성。방법：장76례경증급성이선염환자안조진식시간분위조기진식조(n=31)화대조조(n=45)。관찰량조환자진식후복통적발생솔급반영이선염복발적각항지표적변화，병비교량조적복통완해솔、입주중증감호병방(ICU)솔、최종병사솔화평균주원시간적차이。결과：조기진식조화대조조환자재진식시간상차이유통계학의의(P <0.001)。량조상비，진식후복통적발생솔급반영이선염복발적각항지표수평균무명현차이(P 균>0.05)，이차복통증상완해솔、입주 ICU 솔화최종병사솔적차이야무통계학의의(P 균>0.05)。연이，조기진식조평균주원시간명현단우대조조(P <0.05)。결론：조기진식불영향경증급성이선염환자적병정회복，차가이축단주원시간。
Objective:To evaluate the safety and efficacy of early diet in the patients with mild acute pancreatitis.Methods:Seventy-six patients with mild acute pancreatitis were enrolled.According to the refeeding time,the patients were divided into early diet group (n=3 1)and control group (n=45).Then the recurrent rate of abdominal pain and the levels of pancreatitis re-bound-related indicators after refeeding were observed in the patients of the two groups.Furthermore,the abdominal pain relief rate,Intensive Care Unit (ICU)admission rate,final mortality rate and the average length of hospital stay were compared be-tween the two groups.Results:There was significant difference in refeeding time between the early diet group and the control group (P <0.001).There was no statistical difference in the recurrent rate of abdominal pain after refeeding,the levels of pan-creatitis rebound-related indicators,the relief rate of abdominal pain,ICU admission rate and final mortality rate between the two groups (P >0.05).But the average length of hospital stay in the early diet group was significantly shorter than that in the control group (P <0.05).Conclusions:Early refeeding has no negative effect on the recovery of patients with mild acute pan-creatitis,and it helps to shorten the length of hospital stay.