营养支持在妊娠合并急性胰腺炎中的应用及疗效初步评价

发布时间：2018-06-29 05:31

本文选题：急性胰腺炎 + 妊娠　；参考：《第三军医大学学报》2017年13期

【摘要】：目的评价营养支持在妊娠合并急性胰腺炎患者中的应用及其疗效。方法以我科2013年1月至2016年6月期间住院治疗的全部31例妊娠合并急性胰腺炎患者为研究对象,描述营养支持的应用,并比较肠外营养(parenteral nutrition,PN)与肠外营养联合肠内营养(enteral nutrition,EN)应用的临床效果。结果妊娠合并轻症急性胰腺炎患者8例(25.81%)均未进行营养支持,妊娠合并中重症急性胰腺炎患者中,分别有32.26%(10/31)和41.94%(13/31)的患者采用PN、PN和EN联合进行营养支持。PN和EN联合营养支持治疗组的感染发生率(18.18%)、腹胀缓解时间(3.85±1.07)d、体温恢复正常时间(6.31±2.29)d、住院时间以及住院费用均显著低于PN支持治疗组(P0.05),但不同营养支持方式治疗组间的胎儿终止妊娠率、早产率和足月生产率差异无统计学意义(P0.05)。结论在妊娠合并急性胰腺炎病例中,营养支持应用广泛;肠外营养与肠内营养联合营养支持总体临床效果优于肠外营养。
[Abstract]:Objective to evaluate the application and efficacy of nutritional support in pregnancy with acute pancreatitis. Methods from January 2013 to June 2016, all 31 cases of pregnancy complicated with acute pancreatitis in our department from January 2013 to June 2016 were studied, and the application of nutritional support was described. The clinical effects of parenteral nutrition (parenteral nutrition PN) and parenteral nutrition combined with enteral nutrition (enteral nutrition en) were compared. Results 8 cases (25.81%) of patients with mild acute pancreatitis were not given nutritional support. 32. 26% (10 / 31) and 41. 94% (13 / 31) of patients were treated with PNPN and en combined nutrition support. The incidence of infection, abdominal distension remission time, body temperature recovery time and hospitalization cost were 18.18%, 3.85 卤1.07 d, 6.31 卤2.29 d, respectively. The fetal termination rate was lower in PN support group than in PN support group (P0.05), but the fetal termination rate among different nutritional support treatment groups was lower than that in PN support group (P0.05). There was no significant difference in preterm birth rate and term productivity (P0.05). Conclusion nutritional support is widely used in pregnancy complicated with acute pancreatitis, and the overall clinical effect of parenteral nutrition combined with enteral nutrition is better than that of parenteral nutrition.
【作者单位】：第三军医大学新桥医院消化内科;
【基金】：第三军医大学新桥医院临床科研项目(2013XQHLYG-14)~~
【分类号】：R714.255

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