阶段性营养支持在治疗重症急性胰腺炎中的作用

目的　探讨阶段性营养支持在治疗重症急性胰腺炎 (SAP )中的作用。方法　将 4年间收治的 10 0例SAP患者随机分为两组 ,即全胃肠外营养组 (TPN组 ,5 0例 )及阶段性营养支持组 (SN组 ,5 0例 ) ,比较并分析两组的治疗结果。结果　SN组总并发症率、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 .0 5 ) ;SN组恢复经口进食时间及住院时间显著短于TPN组 (P <0 .0 5 )。结论　阶段性营养支持可以改善SAP患者的营养状况 ,且具有并发症少、住院时间短、住院费用少等优点 ,是治疗SAP理想的营养支持方式。

The role of staging nutrition in the treatment of severe acute pancreatitis

Objective To investigate the role of staging nutrition(SN) in the treatment of severe acute pancreatitis(SAP). Methods One hundred patients with SAP treated in our hospital since 1997 were randomly divided into two groups: Total parenteral nutrition group(TPN group,50 cases) and staging nutrition group (SN group,50 cases). The curative effects and complications between two groups were analyzed and compared. Results The incidences of total complications,incubation complication,double infection,hepatic function injury,abdominal cavity infection and hospital stay in SN-group were significantly lower than those in TPN-group(all P<0.05). Conclusions SAP patients received staging nutrition has less complications,shorter hospital stay and less hospitalization cost. Staging nutrition is a more reasonable nutritional method in treating SAP.