摘要
目的分析重症胰腺炎早期管饲肠内营养与全肠外营养的疗效。方法将我院2016年3月至2017年9月收治的重症胰腺炎患者74例为研究对象,随机摸球法分为对照组37例进行全肠外营养治疗,观察组37例采用早期管饲肠内营养治疗,对比两组患者血淀粉酶、血清C反应蛋白、白蛋白等观察指标和并发症发生率。结果观察组患者血淀粉酶、血清C反应蛋白、白蛋白等指标和对照组治疗前无显著差异,差异无统计学意义(P>0.05)。治疗后观察组患者白蛋白、血清C反应蛋白、血淀粉酶均优于对照组,差异有统计学意义(P<0.05);观察组患者并发症率显著低于对照组,差异有统计学意义(P<0.05)。结论对重症胰腺炎患者进行早期管饲肠内营养效果显著,可改善患者机体,预后良好,有临床推广价值。
Objective to analyze the effect of enteral nutrition and parenteral nutrition in early stage of severe pancreatitis. Methods 74 cases of severe pancreatitis treated in our hospital from March 2016 to September 2017 were studied, and 37 cases were randomLy divided into control group for total parenteral nutrition treatment. Thirty-seven patients in the observation group were treated with enteral nutrition through early tube feeding, and compared the serum amylase, serum c-reactive protein, albumin and other indicators and the incidence of complications in the two groups. Results there was no significant difference between the serum amylase, serum c-reactive protein and albumin in the observation group and the control group before treatment, and the difference was not statistically significant (P> 0.05). After treatment, albumin, serum c-reactive protein and serum amylase in the observation group were all superior to those in the control group, with statistically significant differences (P<0.05).The complication rate of the observation group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion early feeding of enteral nutrition to patients with severe pancreatitis is effective, and can improve the body of patients with good prognosis.
作者
刘海生
LIU Hai-sheng(Yutian County Hospital of Traditional Chinese Medicine,Tangshan,Hebei,064100)
出处
《智慧健康》
2018年第30期124-125,共2页
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