摘要
目的 :通过对 1 5例重症急性胰腺炎 (SAP)病人进行早期肠内营养支持 ,探讨SAP时早期肠内营养的可行性、安全性及有效性。 方法 :对我院普通外科 2 0 0 2年 4月至 2 0 0 3年 6月间 1 5例SAP病人在入院 3～ 5天时放置空肠螺旋管 ,在到达空肠后 ,进行肠内营养支持。观察病人的一般情况、营养状况、免疫功能及并发症的发生率等。 结果 :1 1例病人在置管 2～ 3天后到达空肠 ,3例置管第 4天时在X线透视辅助下置入空肠 ,1例在置管第 4天时在内镜辅助下进入空肠。所有病人对早期肠内营养耐受良好 ,无胰腺炎复发 ,而且肠内营养开始后 1～ 2周营养状况及免疫功能与营养支持前比较明显好转 ,无胰腺坏死组织继发感染的发生。 结论 :对SAP进行早期肠内营养支持是可行、安全和有效的 。
Objectives: To evaluate the feasibility, safety and validity of the early enteral nutrition in severe acute pancreatitis(SAP). Methods: 15 patients of SAP during April 2002 and June 2003 had received early enteral nutrition through naso jejunal tube. The nutrition and immune index and the rates of complications were analyzed. Results: 2～3 days after nutrition tube placed to stomach, the tube heads in 11 cases reached the jejunum automatically, while 3 cases needed the help of X ray and 1 case needed the help of gastroscopy. All of 15 cases tolerated the enteral nutrition well, and there was no relapse of SAP. The nutrition and immune measurement were improved after 2 weeks' enteral nutrition, without infection of pancreatic necrosis. Conclusions: It is safe, efficient and feasible of the early enteral nutrition in severe acute pancreatitis(SAP) through naso jejunal tube. Early enteral nutrition can improve the nutrition, immune function and prognosis.
出处
《肠外与肠内营养》
CAS
2004年第4期229-231,共3页
Parenteral & Enteral Nutrition
