摘要
目的:探讨胃管饲与空肠营养管治疗对急重型胰腺炎患者血淀粉酶及营养状况的影响。方法:将58例重症胰腺炎患者自愿使用空肠营养管为研究对象分成两组,常规组(28例)管饲或口服短肽胰腺专用营养制剂、治疗组(30例)鼻空肠管滴入短肽型胰腺专用营养制剂。比较两组血淀粉酶及营养状况指标在治疗后的差异。结果:治疗组较常规组血AMY显著改善(P<0.01);氮平衡(NB)的改善差异有统计学意义(P<0.05);BMI指标变化趋势明显;ALB、Hb有改善但无统计学差异(P>0.05)。结论:通过液囊空肠营养管对急重症胰腺炎患者进行肠内营养治疗,方案简单有效,经济实用,对急重型胰腺炎患者有普遍适用性,可以推广运用。
Objective： To investigate the effect of tube feeding and nasoejunal nutrition treatment on the blood amylase and nutritional conditions of the severe pancreatitic patients. Methods： 58 cases of severe pancreatitic patients, who voluntarily took nasoejunal nutrition duct, were divided into conventional group and treatment group. 28 cases in the conventional group used short peptid-based special pancreas nutrition preparation by tube feeding or orally taking, while the other 30 cases in the treatment group were dipped in short peptid-based special pancreas nutrition preparation by jejunal duct. Then compared the differences of blood amylase （AMY） and indicators of the nutritional conditions between two groups before and after the treatment. Results： Compared with control group, the blood amylase of the patients in treatment group was improved significantly （P 0. 01）; the nitrogen balance （NB） was also improved significantly and it was of statistical significance （P〈0.05） ;the change tendency of the BMI indicator was obvious; the ALl3 and Hb of patients in the treatment group were improved, but there was no statistical significance （P〉0.05）. Conclusion： The enteral nutrition treatment of severe pancreatitis patients through sac jejunal nutrition duct is simple, economical and practical and it is universally applicable to severe pancreatitis patients and desires popularization.
出处
《华夏医学》
CAS
2010年第5期482-484,共3页
Acta Medicinae Sinica
关键词
急性胰腺炎
肠内营养EN
液囊空肠导管
营养通道
acute pancreatitis, enteral nutrition （EN）, sac jejunal duct, nutrition passage
