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鼻空肠营养管在急性胰腺炎治疗中的应用 被引量:9

Application of nasointestinal feeding tube in the treatment of acute pancreatitis
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摘要 目的:观察鼻空肠营养管行肠内营养在治疗急性胰腺炎中的临床效果。方法:选取本院收治的急性胰腺炎患者128例,随机分为对照组和治疗组,各64例。两组入院均行常规胰腺炎治疗,治疗组在常规治疗的基础上,于病情平稳后,留置鼻空肠营养管进行营养支持治疗;对比两组治疗前后生化及营养指标变化。结果:两组治疗后LC、TP、ALB、Hb均较治疗前显著上升,AMY、Lipase较治疗前显著下降(P<0.05),治疗组治疗后上述指标改善较对照组更为显著(P<0.05);两组治疗前后RBC、Scr、BUN及Ca水平比较无明显变化(P>0.05)。结论:急性胰腺炎治疗过程采用鼻空肠营养管行肠内营养支持治疗,可显著改善患者营养状况,值得临床推广应用。 Objective:To observe the clinical effects of nasointestinal feeding tube for enteral nutrition in the treatment of acute pancreatitis.Methods:A total of 128 patients with acute pancreatitis who were admitted in our hospital were included in the study and randomized into the treatment group and the control group with 64 cases in each group.Routine pancreatitis treatments after admission in the two groups were performed.On this basis,nasointestinal feeding tube was indwelled in patients in the treatment group for nutrition support.The changes of biochemical and nutritional indicators before and after treatment in the two groups were compared.Results:LC,TP,ALB,and Hb after treatment in the two groups were significantly elevated,while AMY and Lipase were significantly reduced when compared with before treatment(P〈0.05).The improvement of the above indicators after treatment in the treatment group was more significant when compared with the control group(P〈0.05).The comparison of RBC,Scr,BUN,and Ca levels before and after treatment between the two groups was not statistically significant(P〉0.05).Conclusions:Adoption of nasointestinal feeding tube for enteral nutrition in the treatment of acute pancreatitis can significantly improve the nutritional status;therefore,it deserves to be widely recommended in the clinic.
出处 《海南医学院学报》 CAS 2016年第23期2844-2846,共3页 Journal of Hainan Medical University
基金 陕西省科技厅科技计划项目(2015SF223)~~
关键词 鼻空肠营养管 肠内营养 急性胰腺炎 Nasointestinal feeding tube Enteral nutrition Acute pancreatitis
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