急性重症胰腺炎肠内营养支持和肠内免疫微生态营养的研究进展  

Research process for enteral nutrition and ecoimmunonutrition of acute pancreatitis

作　　者：窦琳[1] 王勇强[1] 高红梅[1] 

机构地区：[1]天津市第一中心医院重症医学科,天津300192

出　　处：《交通医学》2017年第2期128-131,135,共5页Medical Journal of Communications

基　　金：天津市卫生局科技基金(2015KZ019);卫生部国家临床重点专科建设项目2011[873]

摘　　要：急性重症胰腺炎(severe acute pancreatitis,SAP)常伴有严重的代谢功能紊乱及营养消化吸收功能障碍,营养支持治疗可以为机体提供必需的营养物质,维护肠黏膜屏障,减少并发症的发生,对于缩短病程,改善临床转归等方面具有重要意义。近年来对于SAP营养支持的途径由完全性肠外营养转变为早期肠内营养已达成共识,关于鼻空肠管是否为最佳的喂养途径,通过鼻胃管实施肠内营养的安全性尚有诸多争论,需进一步的研究。对于肠内免疫微生态营养,目前不推荐使用添加谷氨酰胺、益生元和免疫增强配方的肠内营养。Acute severe pancreatitis is accompanied by severe metabolic disorders and dysfunction of nutrient di- gestion and absorption. Nutritional support treatment is important to shorten the course of disease, improve clinical out- comes and so on. Recent studies have shown that the nutritional support of SAP is changed from total parenteral nutrition to early enteral nutrition.Through nasojejunal feeding is the best way or not, the salty of through nasogastric tube ente still tieeds further support of a lot of research results.For ecoimmunonutrition,the use of glutamine and probiotics and immune enhancing enteral nutrition formula were not recommended.

关 键 词：急性重症胰腺炎 肠内营养 生态免疫营 益生菌 

分 类 号：R459.3[医药卫生—治疗学]