营养治疗对重症急性胰腺炎预后的影响

目的 系统评价肠内营养、肠外营养对重症急性胰腺炎预后的影响.方法 采用Cochrane系统评价方法,由两名统计人员用计算机检索Cochrane图书馆、PubMed数据库、同时检索中国知网、中国生物医学文献数据库.收集国内外符合纳入标准的临床随机对照试验,按照纳入与排除标准选择文献,应用Revman 5.0软件进行Met...

Nutritional therapy on the prognosis of severe acute pancreatitis

Objective To study the effect of enteral nutrition(EN) and total parenteral nutrition(TPN)on patients with severe acute pancreatitis by a Meta analysis.Method s Randomized controlled trials of EN in patients with severe acute pancreatitis were searched in Cochrane library,Pubmed database,CNKI database,CBM database.Data were searched by two statisticians.RevMan 5.0 was applied for statistical analysis.Results Nine randomized controlled trials were enrolled into this analysis.Meta-analysis indicated that the use of enteral nutrition decreased the incidence of infectious complications(RR was 0.37,95% CI[0.18,0.77]),pancreas infectious complications (RR was 0.44,95% CI [0.24,0.81],P ＜ 0.01),MODS (RR was 0.33,95% CI[0.19,0.56]),mortaily (RR was 0.45,95% CI [0.26,0.80]),surgical interventions (RR was 0.51,95% CI [0.36,0.71]).When starting within 48 h of admission,EN,in comparison with TPN,resulted in a statistically significant reduction in the risk of MODS,mortaily and infectious complications.Conclusion For patients with severe acute pancreatitis,early EN therapy is better than TPN.