摘要
目的:探讨老年急性胰腺炎患者最佳进食时间。方法:将70例急性胰腺炎患者随机分为A组和B组各35例,A组以临床症状消失、实验室检查结果恢复正常作为进食时间的判断依据,B组在临床症状、体征已消失的基础上,依据胰腺CT或B超影像学变化决定进食时间。结果:A组不良反应明显低于B组(P<0.01),A组患者依从性明显高于B组(P<0.01)。结论:以临床症状消失、实验室检查结果恢复正常作为进食时间的判断为依据,可作为临床老年急性胰腺炎患者进食时间选择的依据。
Objective: To study the best eating time for the elderly patients with acute pancreatitis. Methods: 70 patients with acute pancreatitis were randomly divided into group A and group B (35 cases for each group ). In group A, the disappear- ance of clinical symptoms and resumption of normality of laboratory test results were taken as the basis to estimate the eating time and in group B eating time was selected according to the change of images of CT or ultrasound type B examination based on the disappearance of clinical symptoms and signs. Results : The adverse reactions was significantly less in the group A than those in the group B (P 〈0. 01) ; the compliance of patients was significantly higher than that in the group B (P 〈0. 01). Conclusion: The disappearance of clinical symptoms and resumption of normality of laboratory test results can also be taken as the basis to select the eating time for the elderly patients with acute pancreatitis.
关键词
急性胰腺炎
进食时间
老年患者
Acute pancreatitis
Eating time
Elderly patient