重症急性胰腺炎的营养支持治疗  

Nutrition support in severe acute pancreatitis

作　　者：赵旭辉[1] 戴寅[1] 胡寿红 

机构地区：[1]安徽省立医院分院,合肥230031

出　　处：《肠外与肠内营养》1999年第4期196-197,共2页Parenteral & Enteral Nutrition

摘　　要：目的：探讨营养支持在重症急性胰腺炎病人治疗中的价值及特点。　方法：通过对１７例重症急性胰腺炎营养支持治疗，观察其应用的必要性。采取低热量、高氮量的营养配方，糖脂比例为１∶１，热氮比４１８．４（ｋＪ）∶１（ｇ）。全肠外营养（ＴＰＮ）全部自中心静脉供给。分阶段逐渐由ＴＰＮ过渡到全肠内营养（ＴＥＮ）或口服饮食（ＯＤ）。　结果：营养支持虽不能改变急性胰腺炎的病理过程和病情发展，但可以减少并发症的发生率，降低病死率。　结论：合理的营养支持治疗有助于改善重症急性胰腺炎的预后。Objectives:To investigate the value and characteristics of nutritional support in the therapy for patients with severe acute pancreatitis(SAP). Methods:To evaluate the necessity of nutritional support in the treatment of severe acute pancreatitis,total parenleral nutrition(TPN) of low energy with rich aminonitrogen was used in 17 patients.The mixtrue had a glucose/lipid of 1/1 and a energy/aminonitrogen of 418.4 kJ/1 g.TPN was infused through central veins in all patients and was followed by total entral nutrition(TEN) or oral dinner(OD) in individual patients according to the severity of the disease. Results:Nutritional support decreased the acurrence of the complication and lowered the mortality of SAP. Conclusions:Adequated nutritional support had some help in improving the prognosis of severe acute pancretitis.

关 键 词：重症 急性 胰腺炎 营养支持 治疗 

分 类 号：R657.510.5[医药卫生—外科学] R459.3[医药卫生—临床医学]