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大黄和早期肠内营养对重症胰腺炎病程的影响
引用本文:鲍世韵,余小舫,刘嘉林,马扬,郑锦锋,张卓,王劲,帅建,吴海雄.大黄和早期肠内营养对重症胰腺炎病程的影响[J].中国现代医学杂志,2001,11(11):14-15.
作者姓名:鲍世韵  余小舫  刘嘉林  马扬  郑锦锋  张卓  王劲  帅建  吴海雄
作者单位:暨南大学医学院附属深圳市人民医院肝胆外科,
摘    要:目的:探讨大黄和早期肠内营养(EN)对重症胰腺炎(SP)病程的影响。方法:对重症胰腺炎保守治疗者在入院后即刻,急诊手术者术后24h经鼻空肠管或空肠造瘘管内注入大黄,蓖麻油,蕃泻叶,并对肠功能恢复者早期实施肠内营养。结果:患者在实施上述方案后,腹胀缓解,全身中毒症状减轻,胰腺感染率,并发症,死亡率下降,住院天数和住院费用减少。结论:大黄和早期肠内营养对重症胰腺炎早期减少菌群移位,晚期减少胰腺感染和提高治愈率等方面有重要意义。

关 键 词:重症胰腺炎  大黄  早期肠内营养
修稿时间:2001年5月14日

Combined Application of Rhubarb and Early Enteral Nutritional Supports in The Treatment for Severe Pancreatitis
Bao Shiyun,Yu Xiaofang,Liu Jialin,et al..Combined Application of Rhubarb and Early Enteral Nutritional Supports in The Treatment for Severe Pancreatitis[J].China Journal of Modern Medicine,2001,11(11):14-15.
Authors:Bao Shiyun  Yu Xiaofang  Liu Jialin  
Institution:Bao Shiyun,Yu Xiaofang,Liu Jialin,et al. Department of Hepatobiliary Surgery,Shenzhen People's Hospital,Second Affiliated Hospital of JNUMC,Shenzhen 518020
Abstract:Objective:To study the safety and efficacy of combined use of rhubarb and enteral nutrition (EN) in severe pancreatitis(SP).Methods:Rhubarb was used for the non-operative and postoperative patients,and early enteral nutrition was used after resumption of intestinal function.The incidence of serious complications,mortality,curative effect and costs were compared between rhubarb EN group and control group.Results:In rhubarb EN group,there were less complications,obvious improvement of nutritional condition,shorter time in hosital and lower spending.Conclusions:It is safe and efficient to carry out the combined use of rhubarb and EN in patients with SP.
Keywords:Rhubarb  Early Enteral Nutrition  Severe Pancreatitis
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