鼻空肠营养管行肠内营养治疗轻型急性胰腺炎的价值  

Application of Nasojejunal Feeding Tube in the Treatment of Patients with Mild Acute Pancreatitis

作　　者：凌跃新[1,2] 童赛雄[1,2] 陈诚[1,2] 

机构地区：[1]复旦大学附属中山医院普通外科 [2]复旦大学普通外科研究所,上海200032

出　　处：《中国临床医学》2013年第4期503-504,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨经胃镜放置鼻空肠营养管行肠内营养在轻型急性胰腺炎治疗中的应用价值。方法:回顾分析2012年1—12月83例轻型急性胰腺炎患者的临床资料,其中10例需要营养支持,10例患者均经胃镜放置鼻空肠营养管后在家中进行肠内营养支持治疗。结果:10例患者均顺利完成肠内营养治疗,营养状况良好。其中8例肠内营养时间为2周,2例为3周。在肠内营养治疗期间,10例患者均无腹痛、血淀粉酶升高、鼻空肠营养管脱落及吸入性肺炎等情况发生。结论:在轻型急性胰腺炎的治疗过程中,通过鼻空肠营养管行肠内营养支持治疗是一种安全有效的方法,可以缩短住院时间,减少医疗费用。Objective：To evaluate the clinical value of nasojejunal feeding tube in the treatment of patients with mild acute pancreatitis.Methods：The clinical datum of 83 patients with mild acute pancreatitis from January to December 2012 were analyzed retrospectively.Nutritional support was needed in 10 of 83 patients.Placement of nasojejunal feeding tubes was performed by transnasal endoscopy.Those patients received enteral nutrition（EN）via a nasojejunal feeding tube at home.Results：Ten patients with mild acute pancreatitis had successfully received EN via the nasojejunal route.The period of EN was 14 days in8 patients and 21 days in 2 patients.There were no occurrence of abdominal pain,increase of serum amylase levels,tube dislodgement and aspiration pneumonia in 10 patients.Conclusions：EN via a nasojejunal feeding tube in the treatment of patients with mild acute pancreatitis is a safe and effective method.It can reduce the length of hospital stay and cost.

关 键 词：鼻空肠营养管 肠内营养 轻型急性胰腺炎 

分 类 号：R576[医药卫生—消化系统]