摘要
Abstract
Objective:To observe the effect of the nasal tube of nasogastric enteral nutrition(EN) in the treatment of severe acute pancreatitis(SAP). Method:The clinical data of 27 patiens with severe acute pancreatitis in our hospital from May 2014 to September 2015 were analyzed retrospectively, 12 patiens recived the enteral nutrition(EN) and 15 patiens recived the total parenteral nutrition(TPN).8 factors physiological index of the average of the white blood cell,serum albumin,serum prealbumin,disease recovery and complications,and the hospital stay,the cost of the treatment were observed,and carried on statistics processing.Result:After treatment,the white blood cells,serum albumin,serum prealbumin of EN group were (9.2±3.2)×109/L,(31.6±2.3)g/L, (240.3±36.9)mg/L,compared with (9.5±3.9)×109/L,(32.7±3.9)g/L,(172.2±31.3)mg/L of TPN group,had significantly improved(P<0.05).The infection rate of EN group was 50.0%,which was significantly lower than 86.7% of TPN group,the cost of EN group was (17.52±8.45)million yuan,which was significantly lower than (31.29±13.19)million yuan of TPN group,the differences were statistically significant(P<0.05).The APACHEⅡ score of EN group was 6.5±2.9,which was significantly lower than 8.1±2.6 of TPN group,and the difference was statistically significant(P<0.05).There was no significant difference between two groups in the length of stay(P>0.05).Conclusion:Early enteral nutrition support SAP treatment is safe and feasible,and the effect is better than parenteral nutrition,it is worth clinical promotion.关键词
重症急性胰腺炎/肠内营养/肠外营养Key words
Severe acute pancreatits/Enteral nutrition/Total parenteral nutrition分类
医药卫生
