鼻饲营养泵经鼻空肠管肠内营养支持在重症急性胰腺炎中的应用效果  

Application Effect of Nasal Feeding Nutrition Pump Nasal Jejunal Tube Enteral Nutrition Support in Severe Acute Pancreatitis

作　　者：崔瑶[1] CUI Yao(Department of Gastroenterology,Pizhou People's Hospital,Pizhou,Jiangsu Province,221300 China)

机构地区：[1]邳州市人民医院消化内科,江苏邳州221300

出　　处：《系统医学》2023年第22期93-95,99,共4页Systems Medicine

摘　　要：目的 分析重症急性胰腺炎(severe acute pancreatitis, SAP)治疗中实施鼻饲营养泵经鼻空肠管肠内营养支持的临床效果。方法 选择2018年6月—2022年12月在邳州市人民医院接受治疗的78例SAP患者为研究对象,以随机数表法分为对照组和观察组,各39例。对照组采用全肠外营养支持治疗,观察组采用鼻饲营养泵经鼻空肠管肠内营养支持治疗。对比两组胃肠功能恢复及住院时间、营养情况、血尿淀粉酶浓度、并发症发生情况。结果 观察组胃肠功能恢复时间为(7.15±1.14)d、住院时间为(13.54±2.19)d,较对照组的(8.56±1.23)、(18.71±3.56)d短,差异有统计学意义(t=5.251、7.725,P<0.05)。干预后,观察组人血白蛋白、血红蛋白水平较对照组高,血淀粉酶、尿淀粉酶浓度较对照组低,差异有统计学意义(P<0.05)。观察组并发症发生率为5.13%,较对照组的20.51%低,差异有统计学意义(χ^(2)=4.129,P<0.05)。结论 SAP治疗中实施鼻饲营养泵经鼻空肠管肠内营养支持可缩短患者胃肠功能恢复、住院时间,改善患者营养指标,降低血尿淀粉酶浓度,且并发症少。Objective To analyze the clinical effects of pancreatitis characterized by pancreatitis(SAP)characterized by enteral nutritional support via naso-jejunal tube with naso-feeding nutrition pump.Methods A total of 78 patients with SAP who received treatment in Pizhou People's Hospital from June 2018 to December 2022 were selected as the study objects,and were divided into control group and observation group by random number table method,with 39 cases in each group.The control group was treated with total parenteral nutrition support,and the observation group was treated with naso-feeding nutrition pump through naso-jejunal tube with enteral nutrition support.Gastrointesti-nal function recovery,hospitalization time,nutritional status,hematuric amylase concentration and the incidence of complications were compared between the two groups.Results The recovery time of gastrointestinal function and hos-pitalization time in the observation group were(7.15±1.14)d and(13.54±2.19)d,which were shorter than those in the control group(8.56±1.23)and(18.71±3.56)d,and the differences were statistically significant(t=5.251,7.725,P<0.05).After intervention,the levels of serum albumin and hemoglobin in observation group were higher than those in control group,and the concentrations of blood amylase and urine amylase were lower than those in control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.13%,which was lower than 20.51%in the control group,and the difference was statistically significant(χ^(2)=4.129,P<0.05).Conclusion In SAP treatment,intranal nutrition support with naso-feeding pump through naso-jejunal tube can shorten the recovery of gastrointestinal function,the length of hospital stay,improve the nutritional indexes of pa-tients,reduce the concentration of hematural amylase,and have fewer complications.

关 键 词：重症急性胰腺炎 鼻饲营养泵 营养支持 并发症 

分 类 号：R657[医药卫生—外科学]