肠内营养支持在急性重症胰腺炎治疗中的应用  

The enteral nutritional support in severe acute pancreatitis

作　　者：孙春亮[1] 杜丽萍[2] 王志远[1] 李安富[1] 季兵[1] 李风池[1] 

机构地区：[1]解放军第四○一医院普外科,山东青岛266071 [2]青岛大学医学院附属医院,山东青岛266003

出　　处：《肠外与肠内营养》2002年第3期148-150,共3页Parenteral & Enteral Nutrition

摘　　要：目的 :探讨急性重症胰腺炎 (SAP)时 ,肠内营养 (EN)支持的应用原则、方法及疗效。　方法 :对 2 7例SAP病人进行回顾性总结。　结果 :2 2例治愈 ,5例死亡。 2 1例由肠外营养 (PN)过渡到EN ,19例应用EN时间超过 3周。多数病人在应用EN达 3周时 ,其血清蛋白、体重增加 ,呈正氮平衡。血清转氨酶、胆红素下降 ,肝功能改善。　结论 :①SAP初期应以PN支持为主。②SAP 2～ 3周左右是应用EN的较好时机。③由PN过渡到EN的时间应不少于1周。④EN时 ,口服途径应视为禁忌 ,2 4h经空肠造口持续匀速滴入为首选方法。⑤以含食物纤维的能全力效果较好。总之 ,当病人出现严重的消化道症状时 ,PN +EN是最理想的营养支持方法。Objectives:To study the enteral nutritional(EN) support in patients with severe acute pancreatitis(SAP). Methods:The treatment results of EN was observed retrospectively in 27 cases of patients with SAP. Results:Twenty one cases were successfully administered on EN in 22 cases of patients with SAP who were cured.The nutritional states increased such as the plasma protein and the body weight.The nitrogen balance and hepatofunction were improved. Conclusions:①The better administering opptunity of EN was during 2～3 weeks of SAP.②The duration from parenteral nutrition(PN) to EN was not less than seven days.③PN+EN was the best method of nutritional support during the conditions of digestive complications.④The nutritional fluid was dripped into the jujunum with average speed during 24 hours.⑤The effects of nutritional support of NUTRISON FIBRE was one of best nutritional products.

关 键 词：急性重症胰腺炎 肠内营养 治疗 

分 类 号：R459.3[医药卫生—治疗学]