急性重症胰腺炎早期应用肠内营养的护理研究

目的探讨早期肠内营养对急性重症胰腺炎患者转归的影响。方法将急性重症胰腺炎患者40例随机分为试验组和对照组，试验组早期行肠道内营养，对照组病情稳定后行肠道内营养，记录患者的感染率、病死率、血清白蛋白水平、Ⅰ级护理时间、Ⅱ级护理时间及住院时间。结果病死率试验组和对照组差别无统计学意义；在病程的中期，试验组的血清白蛋白水平高于对照组（P〈0．05）；试验组Ⅰ级护理时间和住院时间均短于对照组（P〈0．05）；Ⅱ级护理时间两者无明显差异（P〉0．05）。结论急性重症胰腺炎患者早期行肠内营养能降低感染率，提高营养水平，减少Ⅰ级护理时间并缩短住院时间，降低住院费用。

The Nursing Research of Early Application of Enteral Nutrition in the Severe Acute Pancreatitis

Objective To explore the effects of early enteral nutrition on clinical recovery of severe acute pancreatitis patients.Methods Forty patients of severe acute pancreatitis were randomly divided into experimental group and control group.Early enteral nutrition was applied on patients of experimental group.In control group enteral nutrition was used when the state of patients is safe.Infection rate,mortality,the level of serum albumin,the length of I grade nursing,II grade nursing and hospitalization were recorded and compared.Results There is no significant difference in mortality between the two group.The serum albumin level of experimental group was higher than control group(P<0.05).The length of I grade nursing and hospitalization of experimental group were less than that in control group(P<0.05).The length of II grade nursing had on difference between two group(P>0.05).Conclusion The early application of enteral nutrition to severe acute pancreatitis patients can reduce infection rate,improve nutrition state,ease the nursing difficulty and shorten the length of hospitalization.