早期空肠内营养在急性重症胰腺炎治疗中的应用及护理
Early Enteral Nutrition and nursing care in the treatment of Severe Acute Pancreatitis
投稿时间:2013-05-13  修订日期:2013-05-13
DOI:
中文关键词:  急性重症胰腺炎  营养支持  肠内营养  护理
英文关键词:SAcute Severe Pancreatitis  Nutritional Support  Enteral nutrition  Nursing
基金项目:
作者单位E-mail
赵灵华 南华大学附属第一医院 zw137543@163.com 
摘要点击次数: 398
全文下载次数: 0
中文摘要:
      目的: 观察早期空肠营养对重症急性胰腺炎的治疗作用。方法:选择46例重症急性胰腺炎患者为治疗对象, 发病 7 d 之后置入空肠营养管, 持续使用 2 周,并与同期采用静脉高营养的重症胰腺炎患者为对照。结果:28例患者实施空肠营养, 占重症急性胰腺炎的 60.9%。治疗前行空肠营养和静脉营养者 APACH E -II积分和 CT 分级比较无统计学差异。治疗后空肠营养组和静脉营养组住院时间分别为 31~ 34 d、 33~ 36 d, 住院平均费用分别约为 46 000~ 50 000、 58 000~ 67 000 元, 治愈率分别为96.4%、 90.2%。结论: : 在无绝对禁忌证的情况下, 尽早给予 EN是安全和有效的,空肠营养者费用和并发症发生率降低, 缩短住院时间及住院费用。
英文摘要:
      Objective: To observe the therapeutic effect of early enteral nutrition for severe acute pancreatitis. Methods: 46 patients with severe acute pancreatitis patients as the control object for the treatment of patients with severe pancreatitis incidence after 7 d into the jejunal feeding tube for two weeks, and compared with the use of intravenous nutrition. Results: 28 patients implementation of enteral nutrition, accounting for 60.9% of the severe acute pancreatitis. No significant difference in pre-treatment line enteral nutrition and parenteral nutrition APACH E-II integral and CT grade. Enteral nutrition group and parenteral nutrition group after treatment hospital stay were 31 to 34 days, 33 to 36 days, the average hospitalization costs were approximately 46 000 to 50 000, 58 000 to 67 000 yuan, the cure rates were 96.4%, 90.2 %.Conclusion: If there is no absolute Contraindication, early EN support is safe and effective. It can obviously improve survival rate of ASP patients, decrease occurrence of Complication and hospitalization costs and shorten hospitalization duration with satisfactory effect.
  查看/发表评论  下载PDF阅读器
关闭
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=FC2B816311E6BA3FD98B22E61A1C3022241F9D0355C0F4D3AD858E7ACCF39C4DDF24FD41C678CB220DE6C23D30452A126B437D94CC75B11E7CEDF360A4F81374D30696E95F0337807D56E14CA9CDDDCAA7CF1F699D36CAC9&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=BB33F1C95224820A&jid=6A20DF2A798996E24F064D5ECF83A153&yid=&aid=&vid=&iid=&sid=&eid=&fileno=201305130000001&flag=2&is_more=0">