老年重症急性胰腺炎联合治疗的效果比较

发布时间：2018-08-22 20:02

【摘要】：目的探讨对比常规肠内营养和联合谷氨酰胺对老年重症急性胰腺炎患者治疗效果的影响。方法选取石家庄市第一医院40例老年重症急性胰腺炎患者,随机分为常规组和研究组各20例。其中,常规组给予常规肠内营养,研究组在常规肠内营养的基础上联合应用谷氨酰胺。分别观察两组患者在治疗前、治疗1 w、2 w后的血清白蛋白水平、转铁蛋白水平和体质量,同时比较重症监护时间。结果两组患者在治疗前,血清白蛋白水平、转铁蛋白水平和体质量均无显著差异(P0.05)。研究组患者的血清白蛋白水平和转铁蛋白水平在治疗后1 w、2 w均显著高于常规组(P0.05)。治疗后两组患者体质量无统计学意义(P0.05)。研究组患者重症监护时间与常规组比较差异显著(P0.05)。结论肠内营养联合应用谷氨酰胺能够明显改善老年重症急性胰腺炎患者的营养状况,缩短重症监护时间,能够对老年重症急性胰腺炎的治疗起到积极的作用。
[Abstract]:Objective to investigate the effect of routine enteral nutrition and glutamine on elderly patients with severe acute pancreatitis. Methods 40 elderly patients with severe acute pancreatitis in Shijiazhuang first Hospital were randomly divided into two groups: routine group (n = 20) and study group (n = 20). Routine enteral nutrition was given in the routine group and glutamine was used in the study group on the basis of routine enteral nutrition. The levels of serum albumin, transferrin and body mass were observed before and after treatment for 1 week and 2 weeks, respectively, and the time of intensive care was compared. Results there was no significant difference in serum albumin, transferrin level and body mass between the two groups before treatment (P0.05). The levels of serum albumin and transferrin in the study group were significantly higher than those in the routine group at 1 and 2 weeks after treatment (P0.05). After treatment, there was no significant difference in body mass between the two groups (P0.05). The time of intensive care in the study group was significantly different from that in the routine group (P0.05). Conclusion Glutamine combined with enteral nutrition can significantly improve the nutritional status of elderly patients with severe acute pancreatitis, shorten the time of intensive care, and play an active role in the treatment of elderly patients with severe acute pancreatitis.
【作者单位】：石家庄市第一医院药剂科;
【分类号】：R576

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