序贯性肠内营养治疗在重症急性胰腺炎病人中的应用

发布时间：2018-02-14 15:45

本文关键词： 重症急性胰腺炎序贯性肠内营养治疗短肽　出处：《肠外与肠内营养》2016年03期 　论文类型：期刊论文

【摘要】：目的:探讨序贯性肠内营养治疗(ENT)在重症急性胰腺炎(SAP)病人治疗中的应用及临床效果。方法:将41例确诊为SAP并保守治疗的病人随机分为两组。研究组(n=21)采用短肽型EN制剂过渡至整蛋白型EN制剂的序贯性ENT方案;对照组(n=20)直接采用整蛋白型EN制剂的ENT方案,喂养过程按照相关指南实施。比较两组病人达到目标能量时间、喂养并发症的发生率、同期营养指标情况以及平均入住ICU时间的差异。结果:两组病人在一定时间内均能达到目标热量。研究组病人达到目标能量的时间早于对照组(P0.05);研究组病人喂养并发症的发生率明显低于对照组(P0.05);研究组病人营养指标改善情况明显好于对照组(P0.05);研究组平均入住ICU时间短于对照组,但差异无统计学意义(P0.05)。结论:序贯性ENT在SAP病人治疗中耐受性更好,能更快地改善病人的营养状况。
[Abstract]:Objective: to investigate the application and clinical effect of sequential enteral nutrition therapy in patients with severe acute pancreatitis (SAP). Methods: 41 patients diagnosed as SAP and treated conservatively were randomly divided into two groups. Sequential ENT regimen for transition from peptide en to whole protein en; The control group was treated with ENT regimen of the whole protein en preparation, and the feeding process was carried out according to the relevant guidelines. The time to reach the target energy and the incidence of complications of feeding were compared between the two groups. Results: the two groups of patients could reach the target calorie in a certain time. The time of reaching the target energy in the study group was earlier than that in the control group (P 0.05), and the patients in the study group were fed. The incidence of complications was significantly lower than that of control group (P 0.05), the improvement of nutritional index in study group was significantly better than that in control group (P 0.05), and the average stay time of ICU in study group was shorter than that in control group. Conclusion: sequential ENT has better tolerance in the treatment of SAP patients and can improve the nutritional status of the patients more quickly.
【作者单位】：首都医科大学良乡教学医院重症医学科;
【分类号】：R576;R459.3

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