| 早期肠内营养在治疗重症急性胰腺炎中的作用 |
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| 引用本文： | 张艳,张伟,王秀敏,黄佩杰. 早期肠内营养在治疗重症急性胰腺炎中的作用[J]. 医药论坛杂志, 2009, 30(6): 40-42 |
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| 作者姓名： | 张艳 张伟 王秀敏 黄佩杰 |
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| 作者单位： | 安阳市人民医院消化内科,安阳市,455001;安阳市肿瘤医院,安阳市,455001 |
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| 摘 要： | 目的探讨早期肠内营养对重症急性胰腺炎(SAP)患者病情和预后的作用。方法63例SAP患者随机分为肠内营养(EN)组和全胃肠外营养(TPN)组;EN组(32例)于发病早期胃镜下放置空肠营养管,并给予肠内营养;TPN组(31例)常规给予静脉营养。观察两组患者治疗2周后的APACHEⅡ、Ranson及BalthazarCT评分;症状缓解时间、血清淀粉酶和白细胞复常时间、住院天数以及感染、并发症发生率等。结果治疗2周后EN组患者的APACHEⅡ、Ranson及BalthazarCT评分较TPN组明显好转;EN组患者症状缓解时间、血清淀粉酶和白细胞复常时间、住院天数较TNP组明显缩短;并发症发生率明显降低,差异有统计学意义(P<0.05)。结论早期肠内营养支持疗法可改善SAP患者病情,提高血清白蛋白水平,降低感染率和并发症的发生率,改善SAP患者的预后。
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| 关 键 词： | 重症急性胰腺炙 肠内营养 预后 |
Early Enteral Nutrition in Treatment of Severe Acute Pancreatitis |
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| ZHANG Yan,ZHANG Wei,WANG Xiumin,et al Anyang People's Hospital,Anyang ,China. Early Enteral Nutrition in Treatment of Severe Acute Pancreatitis[J]. Journal of Medical Forum, 2009, 30(6): 40-42 |
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| Authors: | ZHANG Yan ZHANG Wei WANG Xiumin et al Anyang People's Hospital Anyang China |
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| Affiliation: | ZHANG Yan,ZHANG Wei,WANG Xiumin,et al Anyang People's Hospital,Anyang 455001,China |
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| Abstract: | Objective To investigate the effects of early enteral nutrition on the pathogenetic condition and prognosis of the patients with severe acute pancreatitis(SAP).Methods Total 63 cases of SAP were randomly divided into 2 groups,enteral nutrition(EN)group and total parenteral nutrition(TPN)group.32 cases in EN group were emplaced jejunum nutrition tube through gastroscope and administered jejunal essential diet supporting therapy in the early stage of SAP 3 days after onset.31 cases in TPN group received total... |
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| Keywords: | Severe Acute Pancreatitis Enteral Nutrition Prognosis |
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