排序方式: 共有26条查询结果,搜索用时 15 毫秒
1.
2.
目的:探讨双腔营养管在重症急性胰腺炎(SAP)肠内营养(EN)中的应用价值。方法:将80例SAP患者随机分成双腔组和对照组各40例,双腔组置入双腔营养管,一腔置于trail′s韧带20 cm以下进行肠内营养,一腔置于胃内引流胃液;对照组置普通胃肠营养管进行EN,观察两组临床指标。结果:双腔组1周APACHEⅡ评分为8.8±1.9,2周Balthaza CT评分为3.5±1.2,2周血清清蛋白水平(28.6±1.6)g/L,严重并发症发生率12.5 %(5/40),严重腹胀发生率30 %(12/40),血淀粉酶降至正常时间(5.6±2.4)d,住院时间(53.2±11.6)d,对照组对应指标分别为10.2±2.5, 4.2±1.6, 29.3±1.5, 35 %(14/40), 77.5 %(31/40),(6.9±1.6)d,(60.6±8.6)d,两组差异均有统计学意义(分别P<0.05,P<0.01,P<0.005,P<0.001)。结论:对SAP患者行EN,应用双腔营养管,既能使肠内营养有效,又能让胰腺休息,疗效较满意。 相似文献
3.
目的 探讨中西医结合方法治疗重症急性胰腺炎(SAP)的经验。方法 对12年间收治的240例SAP患者随机分为西医组(A组)100例和中西医结合组(B组)140例。A组单纯用西医方法治疗;B组用中西医结合方法治疗。两组的西医疗法完全相同。两组的手术治疗主要指征为胆源性胰腺炎、病程后期的感染和局部并发症(A组10例,B组6例)。结果 B组治疗后血尿淀粉酶和C反应蛋白显著下降。A,B组并发症的发生率分别为55.00%和12.86%(P<0.01),病死率分别为27.00%和8.57%(P<0.01),中转手术率分别为10.00%和4.29%(P<0.01)。结论 中西医结合方法治疗SAP是有效的治疗方法,与单纯西医治疗方法比较,能明显减少并发症的发生和降低病死率。 相似文献
4.
重症急性胰腺炎(SAP)约占急性胰腺炎(AP)的30%,是一种严重的急腹症.病程长,费用高,并发症,死0亡率高.全胃肠外营养(TPN)的应用大大降低了患者死亡率,但费用高,并发症多.肠内营养(EN)在国内外应用反映良好,主要方式为经鼻胃管,鼻肠管,胃造瘘管和空肠造瘘管.因存在胃液不能有效引流,或增加创伤、生活护理不便等问题.为此,我们研制出一种简便易行、安全有效的引流胃液与肠内营养合二为一的置管方法. 相似文献
5.
6.
自制双腔管在高位肠瘘肠内营养中的应用(附16例报告) 总被引:3,自引:0,他引:3
高位肠瘘大多为高流量,胃酸含量高,易导致水、电解质及酸碱失衡,且对瘘口周围组织有腐蚀作用,表现为出血和(或)疼痛。高位肠瘘的营养支持一直是外科营养的一个难题。我们采用自制双腔管应用于高位肠瘘肠内营养,将引流与肠内营养合二为一,简便、易行、安全、有效。现报告如下。 相似文献
7.
8.
9.
10.
Objective: To explore the effect of Chinese herbs during the perioperative period of laparoscopic cholecystectomy (LC). Methods: Three hundred and sixty patients of chronic lithic cholecystitis (LOOT) were randomly assigned to two groups by lottery, 180 patients in each group. During the peri-operative period, the control group was treated with conventional Western medicine and placebo. The treated group was given the same conventional Western medicine and Chinese herbal decoctions, with Shitong mixture No. 1 (石通1号) added before LC, and Liujunzi decoction (六君子汤) added after LC for three days. The operation time, body temperature after LC, white blood cell count, wind-breaking time after operation, as well as the changes of tongue coating in the first three post-operative days were recorded. Results: There was no significant difference between the two groups in operation time (P〉0.05), while the improvement in body temperature recovery, windbreaking time and changes of tongue coating in the treated group were better than those in the control group (P〈0.01). Conclusion: Applying Chinese herbs during perioperative period of LC could effectively benefit early recovery in such patients. 相似文献