早期肠内营养治疗老年急性胰腺炎患者的疗效及预后

发布时间：2017-12-27 19:17

本文关键词：早期肠内营养治疗老年急性胰腺炎患者的疗效及预后　出处：《中国老年学杂志》2016年03期 　论文类型：期刊论文

【摘要】：目的探讨早期肠内营养对老年急性胰腺炎(AP)患者的临床疗效及预后影响。方法将该院收治的120例老年AP患者随机分为三组:基础治疗组(n=40)行综合治疗,72 h内肠营养组在基础治疗组治疗基础上,于患者入院72 h内行早期肠内营养治疗,72 h后肠营养组在基础治疗组治疗基础上,于患者入院72 h后行早期肠内营养治疗。监测血清白蛋白(ALB)水平、血清淀粉酶(AMS)水平、C反应蛋白(CRP)含量、AMS恢复正常的时间,12~14 d后评价疗效,观察并分析并发症、不良预后。结果 72 h内肠营养组临床治疗的总有效率显著高于基础治疗组(P0.05);治疗后72 h内肠营养组、72 h后肠营养组ALB、AMS、CRP含量均显著优于基础治疗组(均P0.05),且三组AMS恢复正常的时间均有显著差异(均P0.05),基础治疗组时间最长,72 h内肠营养组时间最短。基础治疗组并发症发生率、转手术率均高于72 h内肠营养组和72 h后肠营养组,72 h后肠营养组的并发症发生率高于72 h内肠营养组(均P0.05)。结论肠内营养是治疗老年AP患者的有效营养支持方式,而且早期肠内营养支持有助于改善患者预后情况。
[Abstract]:Objective to investigate the effect of early enteral nutrition on the clinical efficacy and prognosis of elderly patients with acute pancreatitis (AP). Methods divided 120 cases of elderly AP patients admitted to the hospital into three groups: treatment group (n=40) received comprehensive treatment, 72 h enteral nutrition treatment group therapy based on the basis of the patients in the hospital within 72 h of early enteral nutrition therapy, 72 h intestinal nutrition group treatment in foundation treatment group, 72 patients were admitted to hospital after H early enteral nutrition therapy. Serum albumin (ALB) level, serum amylase (AMS) level, C reactive protein (CRP) content and AMS returned to normal time were monitored. 12~14 D was used to evaluate the curative effect. Complications and poor prognosis were observed and analyzed. Results 72 h enteral nutrition treatment group the total efficiency was significantly higher than the treatment group (P0.05); 72 h after treatment, enteral nutrition group, 72 h intestinal nutrition group ALB, AMS and CRP were significantly superior to control group (P0.05), and the three group AMS recovery time were statistically significant the difference (P0.05), the treatment group for the longest time, 72 h in the shortest time enteral nutrition group. The complication rate and conversion rate in the basic treatment group were higher than those in the 72 h enteral nutrition group and the 72 h enteral nutrition group. The incidence of complications after 72 h in the enteral nutrition group was higher than that in the 72 h enteral nutrition group (P0.05). Conclusion enteral nutrition is an effective nutritional support for elderly patients with AP, and early enteral nutrition support is helpful to improve the prognosis of patients.
【作者单位】：滨州市人民医院消化内一科;滨州市人民医院心内一科;滨州市人民医院神经内三科;
【分类号】：R576
【正文快照】： 老年急性胰腺炎(AP)患者病情有急速发展成重症的可能性,常导致严重的并发症。年龄是影响AP预后的独立危险因素,此外,肥胖、低蛋白血症、高血糖、高血脂、慢性肺病等诸多因素也是影响老年AP患者预后的重要原因〔1〕,准确评估病情并及时治疗,才能减少老年AP患者的并发症并降低死

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