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肠内营养支持在急性重症胰腺炎治疗中的应用

方喜 李颖 蔡楚东 彭淮都 张俊烁 吴俊伟 肖亮生

广东医学2011,Vol.32Issue(17):2257-2259,3.
广东医学2011,Vol.32Issue(17):2257-2259,3.

肠内营养支持在急性重症胰腺炎治疗中的应用

Enteral nutrition support for treatment of severe acute pancreatitis.

方喜 1李颖 1蔡楚东 1彭淮都 1张俊烁 1吴俊伟 1肖亮生2

作者信息

  • 1. 广东省汕头市中心医院普通外科,515041
  • 2. 广东省汕头市中心医院检验科,515041
  • 折叠

摘要

Abstract

Objective To compare the clinical efficacy of enteral nutrition ( EN ) and total parenteral nutrition ( TPN ) supports in patients with severe acute pancreatitis ( SAP ). Methods Eighty - two patients with SAP were randomized into 2 groups. EN and TPN were given to patients in Group A and B, respectively. The clinical data, biochemical marker levels, infection, mortality, hospital stay and cost were recorded for analysis. Results In both groups, serum albumin, prealbumin, and serum transferring were significantly increased ( P <0. 05 ). However, significantly lower plasma D - lactate, diamine oxidase, endotoxin, and the urinary WM ratio were revealed in Group A than those in Group B ( P < 0. 05 ). Furthermore, less infection events, shorter hospital stay and lower cost were observed in Group A than those in Group B ( P <0. 05 ). Conclusion Early EN support for patients with SAP is safe and effective, and can improve nutritional status, reduce complications and mortality, and shorten hospital stay.

关键词

肠内营养/急性重症胰腺炎/疗效

Key words

enteral nutrition/ severe acute pancreatitis/ clinical application

引用本文复制引用

方喜,李颖,蔡楚东,彭淮都,张俊烁,吴俊伟,肖亮生..肠内营养支持在急性重症胰腺炎治疗中的应用[J].广东医学,2011,32(17):2257-2259,3.

基金项目

广东省医学科研基金资助项目(编号:A2009642) (编号:A2009642)

广东医学

OA北大核心CSCDCSTPCD

1001-9448

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