重症急性胰腺炎合并肠瘘病人早期营养支持治疗单中心回顾性研究  

Current status of early nutritional support in patients with severe acute pancreatitis complicated with intestinal fistula

作　　者：沈硕 赵雪成 宗厚琴 赵泽华 李嘉琪 姚红林 叶向红 SHEN Shuo;ZHAO Xue-cheng;ZONG Hou-qin;ZHAO Ze-hua;LI Jia-qi;YAO Hong-lin;YE Xiang-hong(Research Institute of General Surgery,Nanjing Jingling Hospital,Nanjing 210002,Jiangsu,China)

机构地区：[1]中国人民解放军东部战区总医院全军普通外科研究所,江苏南京210002

出　　处：《肠外与肠内营养》2023年第5期270-273,共4页Parenteral & Enteral Nutrition

摘　　要：目的:调查重症急性胰腺炎合并肠瘘病人早期营养支持治疗的现状,并分析对病人临床结局的影响。方法:收集2022年5月至2023年5月就诊于东部战区总医院ICU 60例重症急性胰腺炎合并肠瘘病人的临床资料,统计分析病人行早期营养支持治疗的现状,并探究对病人临床结局的影响。结果:有45例(75.00%)和57例(95.00%)病人在入院48 h内开始EN治疗和PN治疗。入院前1周早期肠内营养(EEN)热卡达标率为44.20%,入院前1周早期肠内营养热卡达标组和非达标组,二者机械通气时间和住院费用差异具有统计学意义(P<0.005),ICU住院时间差异无统计学意义(P>0.005)。结论:重症急性胰腺炎合肠瘘病人早期肠内营养达标率稍低,与早期肠内营养非达标组相比,肠内营养达标组病人机械通气时间短,病人住院总费用低,可改善病人的临床结局。Objective:To investigate the current status of early nutritional support treatment in patients with severe acute pancreatitis complicated with intestinal fistula,and analyze the impact on the clinical outcomes of patients.Methods:Retrospective analysis was used to select the relevant data of 60 ICU admission patients with severe acute pancreatitis complicated with intestinal fistula of a tertiary hospital in Nanjing from May 2022 to May 2023,the statistics analysis of the patients'early nutritional support treatment were carried out,and explored the impact on clinical outcomes of patients.Results:A total of 45(75%)and 57(95%)patients started EN and PN treatment within 48 h of admission.The EEN calorie compliance rate after admission of 1 week was 44.2%.There was a difference in mechanical ventilation time and hospitalization expenses between the early enteral nutrition calorie group and non-compliance group,but no significant difference in the length of ICU stay(P>0.005).Conclusion:The early enteral nutrition compliance rate of patients with severe acute pancreatitis combined with intestinal fistula is slightly lower.Compared with the early enteral nutrition non-compliance group,the enteral nutrition standard group has shorter mechanical ventilation time and lower total hospitalization costs,which can improve the clinical outcome of patients.

关 键 词：重症监护 肠瘘 肠内营养 肠外营养 护理 

分 类 号：R657.51[医药卫生—外科学]