急性重症胰腺炎肠内营养制剂选择效果比较  

Comparison of choosing effect among enteral nutrition preparations for SAP

作　　者：吴延陵[1] 

机构地区：[1]南通大学附属医院妇科,江苏226001

出　　处：《齐齐哈尔医学院学报》2012年第19期2599-2601,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨急性重症胰腺炎患者发病后平均72～96小时后经鼻空肠管行肠内营养,应用肠内营养制剂的合理方法,为今后的营养治疗和护理提供依据。方法选取2005年1月～2010年4月符合条件29例急性重症胰腺炎患者,分为对照组(能全力),研究组(能全力和百普力),经鼻肠管进行早期肠内营养,观察两组使用之后腹胀、腹泻、恶心、呕吐、肠功能恢复排气时间的发生。结果所有患者均完成肠内营养治疗,两组比较腹胀、腹泻、恶心和呕吐、肠功能恢复排气时间无明显差异(P>0.05),对照组腹胀的发生率明显高于研究组,差异显著(46.7%vs 21.4%,P<0.05)。结论急性重症胰腺炎早期选用以小肠吸收为主的营养制剂(百普力),待肠功能恢复后再添加含有膳食纤维的营养制剂(能全力)更为合理。Objective To seek appropriate enteral nutrition methods for patients of SAP by using a nasointestinal tube after 48-72 hours,then nutrition methods and nursing from now are all based on it. Methods A total of 29 patients of SAP from 2005.01 to 2010.04were included in this study.These patients were divided into comparison group（TPF） and study group（TPF＋SP）.Early enteral nutrition was achieved via a nasointestinal tube.Postoperatively,the incidence of digestive symptoms（including abdominal distension,diarrhea,nausea and vomiting） and the time of first flatus were compared between the two groups. Results All the patients were completed the enteral nutrition.No significant differences were observed in the incidence of diarrhea,nausea and vomiting,and the time of first flatus between the two groups（all P0.05）.In contrast,the incidence of abdominal distension in the comparison group was signi？cantly higher than that in the study group（46.7 % VS 21.4 %,P0.05）. Conclusions Enteral nutrition preparations easily absorbed through the small intestine（e.g.,SP） should be used for early enteral nutrition in patients of SAP.Preparations containing dietary ？ber（e.g.TPF） should be replenished after the recovery of intestine function.

关 键 词：肠内营养 重症胰腺炎 营养效果 

分 类 号：R657.51[医药卫生—外科学]