摘要
目的探讨大剂量肠道清洁和早期肠内营养(EN)对重症急性胰腺炎(SAP)病程的影响。方法对重症胰腺炎保守治疗者在入院后即刻,急诊手术者术后24小时经鼻空肠管或空肠造瘘管内注入大黄、蓖麻油、蕃泻叶,并对肠功能恢复者早期实施肠内营养。结果患者在实施上述方案后,腹胀缓解、全身中毒症状减轻,胰腺感染率、并发症下降,住院天数和住院费用减少。结论大剂量肠道清洁和早期肠内营养对重症胰腺炎早期减少菌群移位、晚期减少胰腺感染和提高治愈率等方面有重要意义。
Objectives To study the safety and efficacy of combined application of strong intestinal cleansing(IC)and enteral nutrition (EN)in severe acute pancreatitis (SAP).Methods Large dosages of intestinal cleaning material and medications were used for the non-operative and postoperative patients and early enteral nutrition were used after restoring of intestinal function.The incidence of serious complications,mortality,curative effect and cost were comp ared between IC+EN group and control group.Results Less complications,obvious improvement of nutritional condition,shorter hospital stay and less cost were found in IC+EN group.Conclusions It was safe and efficient to carry out the combined application of IC and EN in SAP patients.
出处
《中国临床营养杂志》
CAS
2002年第2期103-105,共3页
Chinese Journal of Clinical Nutrition
