早期肠内营养与延迟肠内营养治疗重症急性胰腺炎的临床疗效比较  

Comparation of therapeutic effects of early enteral nutrition and delayed enteral nutrition on severe acute pancreatitis

作　　者：姚红兵[1] 曾荣城[2] 文明波[1] 黄高[1] 李桂花[1] 杨志坚[1] 

机构地区：[1]解放军第一八一医院肝胆胰外科,广西桂林541002 [2]解放军第一八一医院临床营养科,广西桂林541002

出　　处：《实用医学杂志》2014年第14期2231-2233,共3页The Journal of Practical Medicine

摘　　要：目的:比较早期肠内营养与延迟肠内营养治疗重症急性胰腺炎的临床疗效。方法:选取64例重症急性胰腺炎患者,随机分为治疗组和对照组,对照组仅给予延迟肠内营养,治疗组采用早期肠内营养,治疗后2周比较两组患者血清C反应蛋白、血清总蛋白、白蛋白、血淀粉酶恢复时间、尿淀粉酶恢复时间、急性生理性及慢性健康状况评分Ⅱ及住院时间。结果:与延迟肠内营养治疗相比,采用早期肠内营养支持可明显提高重症急性胰腺炎患者血清总蛋白、白蛋白,降低血清C反应蛋白、急性生理性及慢性健康状况评分Ⅱ,缩短血淀粉酶恢复时间、尿淀粉酶恢复时间及住院时间,两组相比差异显著,具有统计学意义(P<0.05)。结论:采用早期肠内营养治疗重症急性胰腺炎疗效确切,值得临床推广使用。Objective To compare the therapeutic effects of early enteral nutrition and delayed enteral nutrition on severe acute pancreatitis. Methods Sixty-four patients of severe acute pancreatitis were enrolled into two groups： early enteral nutrition group was used as the treatment group and delayed enteral nutrition was used as the control group. Two weeks after the treatment, Variables of TP, ALB, CRP, APACHEⅡscore, hospital stay and recovery time of blood and urine amylase were compared between the two groups. Results The TP and ALB of the treatment group were significantly higher than those in the control group （P〈0.05）. The CRP and APACHEⅡscore of the treatment group were significantly lower than those in the control group （P〈0.05）. Compared with the control group, the recovery time of blood amylase, urine amylase and hospital stay were significantly shorter in the treatment group （P〈0.05）. Conclusion Using early enteral nutrition treatment in patients with severe acute pancreatitis is efficient, worthy of clinical use.

关 键 词：重症急性胰腺炎 早期肠内营养 延迟肠内营养 

分 类 号：R657.51[医药卫生—外科学]