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早期肠内营养对重症急性胰腺炎预后影响的回顾性分析

发布时间:2019-05-14 15:24
【摘要】:目的探讨早期肠内营养对重症急性胰腺炎(SAP)预后的影响。方法选择2008-2016年昆明医科大学第一附属医院EICU收治的SAP患者36例,按照入院后48 h是否添加肠内营养(能全力)分为A、B两组,记录并对比两组患者治疗前后的APACHEⅡ评分、SOFA评分、并发症发生情况及预后情况。结果两组患者治疗前APACHEⅡ评分、SOFA评分差异均无统计学意义(P0.05);治疗后,两组患者的APACHEⅡ评分、SOFA评分均明显优于治疗前,且A组患者的改善情况明显优于B组(P0.05);两组患者ICU住院时间、并发症发生率、28 d及60 d死亡率比较,差异均有统计学意义(P0.05)。结论早期肠内营养能改善重症急性胰腺炎的预后,建议今后临床早期对重症急性胰腺炎行肠内营养支持。
[Abstract]:Objective to investigate the effect of early enteral nutrition on the prognosis of (SAP) in severe acute pancreatitis (SAP). Methods from 2008 to 2016, 36 patients with SAP admitted to EICU, the first affiliated Hospital of Kunming Medical University, were divided into two groups according to whether enteral nutrition was added 48 hours after admission. Group B was divided into two groups. The APACHE II scores of the two groups before and after treatment were recorded and compared. SOFA score, complications and prognosis. Results there was no significant difference in APACHE 鈪,

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