摘要
目的通过对44例重症胰腺炎不同方法的治疗,观察肠内营养(CN)和静脉营养(PN)在住院时间、并发症及住院费用的区别。方法病人入院后给予禁饮食、胃肠减压,止痛抑制胃酸、胰液分泌及抗感染等治疗,第2天给予静脉营养。一组在病情稳定后(一般入院3～5天)开始给予肠内营养(EN);另一组给静脉营养(PN)至进食,其中8例次半月后行肠内营养。结果EN组未出现腹痛腹泻及腹腔感染病,假性囊肿3例,平均住院时间18天,住院费用19996.70元。PN组腹痛腹泻病例12例次,腹腔感染2例次,多器官功能损害1例,静脉导管感染1例,假性囊肿6例,平均住院时间21.7天,住院费用36781.00元。两组住院时间无统计学意义(t检验P>0.05),住院费用有统计学意义(t检验P<0.05)。结论重症胰腺炎早期行肠内营养可减少住院费用、腹腔感染和腹痛腹泻等并发症。
Objective To observe the difference in hospitalized duration, complications and expense between enteral nutrition （EN） and parenteral nutrition（PN） with different treatment study. Methods After hospotalization,44 patients were administered fasting, gastrointerstinal pressure reducing, pain relieving, gastric and pancreatic secretion and infection controlling. The intravenous nutriti given on the second day for all patienrs. After stabilization of the patient＇s condition（ generally 3- 5days after hospitalization） group EN was given enteral nutrition , while nurtition were continued until fasting was stopped in group PN. Among group PN, 8 cases were given enteral nutrition after 2 weeks. Results No abdominal pain , diarrhea, and abdominal cavity infection case was found, but 3 cases of pseudo-pancreatic cyst were found in group, and the average hospitalization time was 18 days,average expense 19996.7 yuan. Wheras in group PN 12 cases of abdominal pain and diarrhea, 2 cases abdominal infection , 1 case of MODS, 1 ease of venous duct infection and 6 cases of pseudo-paneretic cyst were found. The average hospitalization time was 21.7 days and hospilization expense was 36781.0 yuan. No statistic difference was found in hospitalization time between two groups （ P 〉 0.05 ）, but there was a statistic difference in hospitallization expense between two groups （P 〈 0.05）. Conclusion Early enteral nutrition may decrease hospitalization expense and the complications such as abdominal infection abdominal pain and diarrhea.
出处
《胃肠病学和肝病学杂志》
CAS
2006年第2期173-174,177,共3页
Chinese Journal of Gastroenterology and Hepatology
