摘要
目的探讨经皮内镜胃空肠造瘘(PEG/J)置管行肠内营养(EN)治疗SAP的意义。方法回顾性分析53例SAP患者经不同途径EN治疗,其中20例采用PEG/J术置管(PEG/J组),23例采用鼻空肠管(鼻空肠管组),10例采用开放手术空肠造瘘(手术组)。对三组之间的操作时间、排便恢复时间、血白细胞恢复正常所需时间、导管相关肺部感染率、营养管留置时间和舒适度评分进行对比分析。结果排便恢复时间、血白细胞恢复正常所需时间、导管相关肺部感染率及舒适度评分PEG/J组均低于其它两组;操作时间PEG/J较手术组短(P<0.05),较鼻空肠管组长(P<0.05);营养管留置时间PEG/J组最长(P<0.05)。结论采取不同途径行EN治疗SAP时,经PEG/J管较鼻空肠管及手术造瘘管效果好,且并发症少。
Objective To investigate the clinical significance of enteral nutrition（EN） by percutaneous endoscopic gastr ostomy/jejunostomy （PEG/J） in severe acute pancreatitis（SAP）. Method Treatment of 53 patients with SAP were retrospec tively analysed. 20 cases were in PEG/J group ,23 cases were in nasojejunal tube group ,others in operation group. The operation time,recovery time of defecation,the time of bemogram returning to normal level,pulmonary infection rate, retention time, and scores in comfort level were compared and analyzed. Results The time of defecation,leucocyte drop to normal,nutrition tube indwelling after operation ,and the bruggrmann comfort scale are obviously superior than the other two groups. The operation time of the PEG/J group is shorter than the operation group and longer than the nasojejunal tube group （P 〈 0.05） ;the pulmonary in fection rate is lower than the other two groups. （P 〈 0.05）. Conclusion For treatment of severe acute pancreatitis by enteral nutrition,the PEG/J is more effect than nasojejunal tube and operation,with less complications.
出处
《中南医学科学杂志》
CAS
2012年第6期567-569,共3页
Medical Science Journal of Central South China
基金
湖南省教育厅资助课题(编号:09c848)
关键词
经皮内镜胃空肠造瘘
鼻空肠管
手术空肠造瘘
肠内营养
重症急性胰腺炎
percutaneous endoscopic gastrostomy/jejunostomy
nasojejunal tube
operation jejunum stoma
enteral nutrition
severe acute pancreatitis
