| 生大黄经鼻空肠给药在重症急性胰腺炎治疗中的作用 |
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| 引用本文： | 胡明玉,张从雨. 生大黄经鼻空肠给药在重症急性胰腺炎治疗中的作用[J]. 中国医药指南, 2011, 9(22): 14-16 |
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| 作者姓名： | 胡明玉 张从雨 |
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| 作者单位： | 安徽医科大学附属安庆医院普外科,安徽安庆,240003 |
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| 摘 要： | 目的研究生大黄经鼻空肠管给药和经胃管给药对重症急性胰腺炎的治疗效果。方法将42例经证实为重症急性胰腺炎的患者随机分为两组:经胃管给药组(对照组,21例)和经鼻空肠管给药组(治疗组,21例)。对照组入院1h后放置胃管,给予大黄;治疗组入院1h后置入液囊空肠导管(放置于屈氏韧带下方30cm),待X线证实到位后经空肠管内给予大黄。临床观察两组患者胃肠道功能复苏情况(腹胀缓解时间、肠呜音恢复时间等)和腹腔穿刺液淀粉酶含量以及临床指标(继发感染率、病死率、平均住院日等)。结果治疗组胃肠道功能复苏情况明显好于对照组(P<0.05),与对照组相比,治疗组第4、7天患者腹腔穿刺液淀粉酶含量明显降低(P<0.05);且治疗组继发感染率、平均住院日比对照组明显下降(P<0.05)。结论重症急性胰腺炎治疗中,相对于经胃管给药,大黄经鼻空肠导管给药可以明显缩短腹胀缓解时间、肠鸣音恢复时间、恢复排便排气时间,明显降低腹腔穿刺液淀粉酶含量,明显减少患者的继发感染率、平均住院日。
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| 关 键 词： | 重症急性胰腺炎 大黄 鼻空肠导管给药 给药途径 |
The Effect of Rude Rhubarb on Patients with Severe Acute Pancreatitis(SAP) by Nasojejunal Feeding |
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| HU Ming-yu,ZHANG Cong-yu. The Effect of Rude Rhubarb on Patients with Severe Acute Pancreatitis(SAP) by Nasojejunal Feeding[J]. Guide of China Medicine, 2011, 9(22): 14-16 |
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| Authors: | HU Ming-yu ZHANG Cong-yu |
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| Affiliation: | HU Ming-yu,ZHANG Cong-yu Department of General Surgery,Anqing Hospital Affiliated to Anhui Medical University,Anqing 230003,China |
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| Abstract: | Objective To compare the effect of rude rhubarb on patients with severe acute pancreatitis(SAP) by nasogastric or nasojejunal feeding.Methods SAP patients were divided into the control group(n=21) and the treatment group(n=21) randomly.The all patients were given comprehensive treatment.the patients in group C were given rude rhubarb by nasogastric feeding,while those in group T were given by nasojejunal feeding.The functions of gastrointestinal tract,the rate of secondary infection,duration of hospitalizat... |
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| Keywords: | Severe acute pancreatitis Rude rhubarb Nasojejunal feeding Route of administration |
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