经皮胃造瘘在重症胰腺炎治疗中的应用价值研究  

A Study in Application of PEG in the Treatment of Severe Acwie Pancreatitis

作　　者：武建军[1] 秦二平[1] 吕艳萍[1] 郑建华[1] 

机构地区：[1]内蒙古自治区医院消化科,内蒙古呼和浩特010017

出　　处：《内蒙古医学杂志》2009年第1期7-8,共2页Inner Mongolia Medical Journal

基　　金：内蒙古自治区科技厅攻关项目(20050615)

摘　　要：目的:探讨经皮胃造瘘技术(PEG)与肠内营养(EN)相结合治疗急性重症胰腺炎(SAP)的作用与价值。方法:16例病人发病早期行PEG,起到胃肠减压作用,肠功能恢复后沿PEG管置入空肠管行EN,20例病人行常规肠外营养(PN)作为对照。结果:两组病人腹痛缓解时间和住院天数差异有统计学意义,分别为P<0.05和P<0.01。并发症发生总例数差别明显,分别为91%和12.5%。结论:PEG这项传统技术与现代肠内营养完美结合之后,有望成为治疗SAP的一项全新方法,值得推广。Objective： To study the function and value of percutaneous endoscopic gastrostomy （PEG） combined with entreral nutrition to treat severe acute pancreatitis（SAP）. Methods： 16 cases of patients in early onset were treated with percwlaneous enoloscopic gastrostomy（PEG）, which can play the role of gastrointestinal de- compression. After the intestinal function recovered, we gave these patients enteral mutrition by putting je- junum tube into along PEG tube. 20 cases of patients with conventional parenteral nutrition（PN） were as control groups. Results：The relieving time of abdominal pain and days in hospital in two groups were significantly different, as P〈0.05 and P〈0.01 respectively. And the incidence rates of complications in two groups also be very different, as 91% and 12. 596 respectively. Conclusion. The perfect combination of traditional PEG and modern EN is expened to be a new method in treating SAP and it is worth promoting.

关 键 词：经皮胃造瘘 肠内营养 急性重症胰腺炎 肠外营养 

分 类 号：R576.1[医药卫生—消化系统]