【摘要】 目的 比較不同給養途徑在重癥急性胰腺炎(SAP)中的臨床效果。 方法 選擇2008年1月-2009年4月收治的49例SAP患者,隨機分為觀察組和對照組。觀察組25例采用腸內營養,對照組24例采用全胃腸外營養,比較兩組的臨床效果。 結果 兩組的并發癥發生率、感染率和病死率差異均無統計學意義(P gt;0.05);治療后兩組患者的血清白蛋白水平和前白蛋白水平均升高,以觀察組升高更明顯,組間差異有統計學意義(P lt;0.05)。 結論 腸內營養應用于SAP患者臨床效果滿意,值得關注。
【Abstract】 Objective To compare the clinical effects of different rations pathway in severe acute pancreatitis. Methods From January 2008 to April 2009, 49 patients of severe acute pancreatitis were selected and randomly divided into two groups, the observation group (25 patiens) adopted by enteral nutrition, the control group (24 patiens) adopted by total parenteral nutrition, the clinical effects of the two groups were compared and analyzed. Results The differences in the incidence of complications, infection rates and case fatality rates were not statistically significant (P gt;0.05). The serum albumin level and prealbumin level of patients in both groups after treatment were significantly increased. Those in the observation group increased more obviously, and the differences between the two groups were statistically significant (P lt;0.05). Conclusion Enteral nutrition in patients with severe acute pancreatitis has satisfactory clinical effects.
引用本文: 盧濤,鄭仕誠,賴通彬. 不同給養途徑在重癥急性胰腺炎中的效果分析. 華西醫學, 2010, 25(9): 1600-1601. doi: 復制