| 刘龙飞，肖帅，孙鑫国，李峰，龙建武，彭秀达.经PEG/J置管行肠内营养对SAP治疗的临床意义.[J].中南医学科学杂志.,2012,40(6):567-569. |
| 经PEG/J置管行肠内营养对SAP治疗的临床意义 |
| The Clinical Significance of Nutritional Support by Percutaneous Endoscopic Gastrostomy/Jejunostomy in Severe Acute Pancreatitis |
| 投稿时间：2012-06-19 |
| DOI： |
| 中文关键词: 经皮内镜胃空肠造瘘 鼻空肠管 手术空肠造瘘 肠内营养 重症急性胰腺炎 |
| 英文关键词:percutaneous endoscopic gastrostomy/jejunostomy nasojejunal tube operation jejunum stoma enteral nutrition severe acute pancreatitis |
| 基金项目:湖南省教育厅资助课题（编号：09c848）. |
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| 中文摘要: |
| 目的探讨经皮内镜胃空肠造瘘（PEG/J）置管行肠内营养（EN）治疗SAP的意义。方法回顾性分析53例SAP患者经不同途径EN治疗，其中20例采用PEG/J术置管（PEG/J组），23例采用鼻空肠管（鼻空肠管组），10例采用开放手术空肠造瘘（手术组）。对三组之间的操作时间、排便恢复时间、血白细胞恢复正常所需时间、导管相关肺部感染率、营养管留置时间和舒适度评分进行对比分析。结果排便恢复时间、血白细胞恢复正常所需时间、导管相关肺部感染率及舒适度评分PEG/J组均低于其它两组；操作时间PEG/J较手术组短（P<0.05），较鼻空肠管组长（P<0.05）；营养管留置时间PEG/J组最长（P<0.05）。结论采取不同途径行EN治疗SAP时，经PEG/J管较鼻空肠管及手术造瘘管效果好，且并发症少。 |
| 英文摘要: |
| ObjectiveTo investigate the clinical significance of enteral nutrition(EN) by percutaneous endoscopic gastrostomy/jejunostomy （PEG/J） in severe acute pancreatitis（SAP).MethodTreatment of 53 patients with SAP were retrospectively analysed.20 cases were in PEG/J group,23 cases were in nasojejunal tube group,others in operation group.The operation time,recovery time of defecation,the time of hemogram returning to normal level,pulmonary infection rate,retention time,and scores in comfort level were compared and analyzed.ResultsThe time of defecation,leucocyte drop to normal,nutrition tube indwelling after operation,and the bruggrmann comfort scale are obviously superior than the other two groups.The operation time of the PEG/J group is shorter than the operation group and longer than the nasojejunal tube group (P<0.05);the pulmonary infection rate is lower than the other two groups.(P<0.05).ConclusionFor treatment of severe acute pancreatitis by enteral nutrition,the PEG/J is more effect than nasojejunal tube and operation,with less complications. |
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