Effect of Different Rations Pathway on Severe Acute Pancreatitis_West China Medical Journal

Authors：

Digestive System Department,The First People′s Hospital of Longquanyi District, Chengdu, Sichuan 610100, P.R.China;

Corresponding author：

Keywords：

重症急性胰腺炎; 肠内营养; 全胃肠外营养; 给养途径; 血清白蛋白; 前白蛋白

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

【摘要】目的 比较不同给养途径在重症急性胰腺炎（SAP）中的临床效果。方法选择2008年1月-2009年4月收治的49例SAP患者，随机分为观察组和对照组。观察组25例采用肠内营养，对照组24例采用全胃肠外营养，比较两组的临床效果。结果两组的并发症发生率、感染率和病死率差异均无统计学意义（P gt;0.05）；治疗后两组患者的血清白蛋白水平和前白蛋白水平均升高，以观察组升高更明显，组间差异有统计学意义（P lt;0.05）。结论肠内营养应用于SAP患者临床效果满意，值得关注。
【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.

Citation： LU Tao,ZHENG Shicheng,LAI Tongbin. Effect of Different Rations Pathway on Severe Acute Pancreatitis. West China Medical Journal, 2010, 25(9): 1600-1601. doi: Copy

1.	中华医学会外科学会胰腺外科学组. 重症急性胰腺炎诊治草案[J]. 中华肝胆外科杂志, 2002, 8(2): 17.
2.	聂振声, 王浩田, 王中举, 等. 重症胰腺炎的治疗体会[J]. 实用医技杂志, 2007, 14(33): 4613-4615.
3.	Karakan T, Ergun M, Dogan I, et al. Comparison of early enteral nutrition in severe acute pancreatitis with prebiotic fiber supplementation versus standard enteral solution: a prospective randomized double-blind study[J]. World J Gastroenterol, 2007, 13(19): 2733-2737.
4.	丁士海, 史学宁. 28例重症胰腺炎的治疗体会[J]. 安徽医药, 2006, 10(1): 36.
5.	陈禹. 重症胰腺炎的治疗体会[J]. 四川医学, 2002, 23(1): 54-55.
6.	刘震. 重症胰腺炎的营养支持[J]. 中国现代药物应用, 2008, 2(8): 44.
7.	张海, 余立群, 方春华, 等. 肠外营养与肠内营养联合治疗重症胰腺炎临床研究[J]. 胃肠病学和肝病学杂志, 2008, 17(5): 417-419.
8.	谢华, 吴叔明. 重症急性胰腺炎的早期肠内营养[J]. 国外医学(消化系疾病分册), 2004, 24(1): 3.
9.	朱家沂, 王亚东, 周鹏, 等. 早期液体复苏、肠道云污联合肠内营养治疗重症急性胰腺炎的临床研究[J]. 中华急诊医学杂志, 2006, 15(11): 20.
10.	马茂源, 丁志刚. 早期肠内营养在重症急性胰腺炎中的临床应用[J]. 胰腺病学, 2006, 6(3): 15.

1. 中华医学会外科学会胰腺外科学组. 重症急性胰腺炎诊治草案[J]. 中华肝胆外科杂志, 2002, 8(2): 17.
2. 聂振声, 王浩田, 王中举, 等. 重症胰腺炎的治疗体会[J]. 实用医技杂志, 2007, 14(33): 4613-4615.
3. Karakan T, Ergun M, Dogan I, et al. Comparison of early enteral nutrition in severe acute pancreatitis with prebiotic fiber supplementation versus standard enteral solution: a prospective randomized double-blind study[J]. World J Gastroenterol, 2007, 13(19): 2733-2737.
4. 丁士海, 史学宁. 28例重症胰腺炎的治疗体会[J]. 安徽医药, 2006, 10(1): 36.
5. 陈禹. 重症胰腺炎的治疗体会[J]. 四川医学, 2002, 23(1): 54-55.
6. 刘震. 重症胰腺炎的营养支持[J]. 中国现代药物应用, 2008, 2(8): 44.
7. 张海, 余立群, 方春华, 等. 肠外营养与肠内营养联合治疗重症胰腺炎临床研究[J]. 胃肠病学和肝病学杂志, 2008, 17(5): 417-419.
8. 谢华, 吴叔明. 重症急性胰腺炎的早期肠内营养[J]. 国外医学(消化系疾病分册), 2004, 24(1): 3.
9. 朱家沂, 王亚东, 周鹏, 等. 早期液体复苏、肠道云污联合肠内营养治疗重症急性胰腺炎的临床研究[J]. 中华急诊医学杂志, 2006, 15(11): 20.
10. 马茂源, 丁志刚. 早期肠内营养在重症急性胰腺炎中的临床应用[J]. 胰腺病学, 2006, 6(3): 15.

West China Medical Journal

Effect of Different Rations Pathway on Severe Acute Pancreatitis

Abstract Full text Figures/Tables Video References Cited by

Format

Content