摘要
急性胰腺炎(acute pancreatitis,AP)是指各种诱因所导致胰腺的急性炎症状态,由于该疾病通常来势凶猛,针对其的治疗是多方面支持的综合性治疗,营养支持治疗是其中重要的一项举措。相关指南推荐尽早予以必要的营养支持,以满足患者能量需求,改善疾病的病情及预后。就多种营养支持手段而言,早期肠内营养支持(early enteralnutrition,EEN)的观念逐渐深入人心,在近些年来的研究中,观点颇多,尚未达成较为统一的共识,但就目前而言,AP患者接受EEN显示有益,在选择EEN途径中有经口进食、鼻空肠管饲、鼻胃管饲,在启动时机上缺乏较为统一的观点,EEN的支持配方、形式及其与肠道微生态环境的研究较多,观点各异,就EEN本身而言,仍存在一些问题。文章对AP患者中EEN相关研究作一综述。
Acute pancreatitis(AP)refers to the acute inflammation of the pancreas caused by various triggers.As the disease is usually aggressive,the treatment for it is comprehensive treatment supported by various aspects,and nutritional support therapy is an important measure.The guidelines recommend early and necessary nutritional support to meet patients’energy needs and to improve disease status and prognosis.In terms of a variety of nutrition support,early enteral nutrition(EEN)support excites a thorough popular feeling gradually.Although there are many viewpoints in recent years,no consensus has yet been reached.At present,EEN is beneficial for AP,and the approaches include oral feeding,nasojejunal tube feeding and nasogastric tube feeding.However,views on the timing of initiation are inconsistent.In addition,there are still some problems with EEN,though many researchers have studied the formula and form of EEN and its relationship to intestinal microecological environment.This review summarizes EEN-related studies in AP patients.
作者
张余鑫
李生伟
ZHANG Yu-xin;LI Sheng-wei(Department of Hepatobiliary Surgery,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)
出处
《实用临床医学（江西）》
CAS
2020年第3期99-103,共5页
Practical Clinical Medicine
关键词
急性胰腺炎
早期肠内营养
鼻空肠管饲
鼻胃管饲
acute pancreatitis
early enteral nutrition
nasojejunal tube
nasogastric tube
