大黄和早期肠内营养对重症胰腺炎病程的影响  

COMBINED APPLICATION OF RHUBARB AND EARLY ENTERAL NUTRITIONAL SUPPORTS IN THE TREATMENT FOR SEVERE PANCREATITIS

作　　者：鲍世韵[1] 余小舫[1] 刘嘉林[1] 马扬[1] 郑锦锋[1] 张卓[1] 王劲[1] 帅建[1] 吴海雄[1] 

机构地区：[1]暨南大学医学院附属深圳市人民医院肝胆外科,深圳518020

出　　处：《中国现代医学杂志》2001年第11期14-15,共2页China Journal of Modern Medicine

摘　　要：目的 :探讨大黄和早期肠内营养 (EN)对重症胰腺炎 (SP)病程的影响。方法 :对重症胰腺炎保守治疗者在入院后即刻 ,急诊手术者术后 2 4h经鼻空肠管或空肠造瘘管内注入大黄、蓖麻油、蕃泻叶 ,并对肠功能恢复者早期实施肠内营养。结果 :患者在实施上述方案后 ,腹胀缓解、全身中毒症状减轻 ,胰腺感染率、并发症、死亡率下降 ,住院天数和住院费用减少。结论 :大黄和早期肠内营养对重症胰腺炎早期减少菌群移位、晚期减少胰腺感染和提高治愈率等方面有重要意义。Objective:To study the safety and efficacy of combined use of rhubarb and enteral nutrition (EN) in severe pancreatitis(SP).Methods:Rhubarb was used for the non-operative and postoperative patients,and early enteral nutrition was used after resumption of intestinal function.The incidence of serious complications,mortality,curative effect and costs were compared between rhubarb+EN group and control group.Results:In rhubarb+EN group,there were less complications,obvious improvement of nutritional condition,shorter time in hosital and lower spending.Conclusions:It is safe and efficient to carry out the combined use of rhubarb and EN in patients with SP.

关 键 词：重症胰腺炎 大黄 早期肠内营养 

分 类 号：R576[医药卫生—消化系统] R259.76[医药卫生—内科学]