个体化阶段性营养支持治疗重症急性胰腺炎

目的:探讨个体化阶段性营养支持在治疗重症急性胰腺炎中的地位.方法:将1997年我院收治的100例重症急性胰腺炎病人随机分为两组,全胃肠外营养(TPN)组50例及个体化阶段性营养(个体化)组50例,比较并分析两组的治疗效果.结果:个体化组总并发症、导管并发症、二重感染、肝功能损害、腹腔感染发生率及住院费用,均明显低于TPN组(P＜0.05);个体化组恢复经口进食时间及住院时间显著短于TPN组(P＜0.05).结论:个体化阶段性营养支持可以改善重症急性胰腺炎病人的营养状况,是治疗重症急性胰腺炎理想的营养支持方式.

The role of individualized stage nutrition in the treatment of severe acute pancreatitis

Objective: To investigate the role of individualized stage nutrition in the treatment of severe acute pancreatitis(SAP).Methods: 100 patients with SAP treated in our hospital since 1997 were at random divided into two groups,total parenteral nutrition group(TPN-group,50 cases) and individualized stage nutrition group(individualization group,50 cases).The curative effects and complications were analyzed between two groups. Results: The incidences of total complications,incubation complication,superinfection,hepatic function injury,abdominal cavity infection and hospitalization cost in individualization group were significantly lower than those in TPN-group(P<0.05).Durations of restoring oral intake and hospitalization in individualization group were obviously shorter than those in TPN-group(P<(0.05).) Conclusion: Individualized stage nutrition,which has the advantages of less complications,shorter hospitalization time and less hospitalization cost,can ameliorate the nutritional status of the patients with SAP.It is a more reasonable nutritional method to treat SAP.