CAJ | 학술논문

目的探讨肠内营养(EN)与肠外营养(PN)在急性重症胰腺炎患者中的应用观察及鼻空肠管护理的有效措施.方法 PN组入院后即行完全肠外营养支持直至经口进食.EN组入院第一天以静脉支持，第二天开始经鼻空肠营养管滴入肠内营养乳剂(瑞素)，逐步加大支持强度并减少静脉支持.观察胃肠功能恢复情况、住院日数、体重降低比率等.结果 EN组胃肠功能恢复时间和平均住院日数均短于PN组，经费明显低于PN组.结论重症急性胰腺炎早期行肠内营养支持可更快促进小肠功能恢复，加快营养状况改变，降低住院经费.
목적탐토장내영양(EN)여장외영양(PN)재급성중증이선염환자중적응용관찰급비공장관호리적유효조시.방법 PN조입원후즉행완전장외영양지지직지경구진식.EN조입원제일천이정맥지지，제이천개시경비공장영양관적입장내영양유제(서소)，축보가대지지강도병감소정맥지지.관찰위장공능회복정황、주원일수、체중강저비솔등.결과 EN조위장공능회복시간화평균주원일수균단우PN조，경비명현저우PN조.결론중증급성이선염조기행장내영양지지가경쾌촉진소장공능회복，가쾌영양상황개변，강저주원경비.
Objective Explore the enteral nutrition (EN) and parenteral nutrition (PN) in patients with severe acute pancreatitis in the application of effective measures to observe and nasojejunal tube care. Methods The PN group were admitted to hospital after row total parenteral nutrition support until oral intake. The first day of admission of the EN group, vein support next day nasal jejunal feeding tube instillation of enteral nutrition emulsion (Rui prime), and gradually increase the support strength and reduce venous support and observe the recovery of gastrointestinal function,hospital stay, weight loss ratio. Results EN group, recovery of gastrointestinal function and the average length of stay were shorter than the PNgroup,funding was significantly lower than the PN group. Conclusion Severe acute pancreatitis early enteral nutritional support can promote faster intestinal function recovery to speed up the nutritional status change, reducing hospital funding.