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目的探讨肠内外营养支持治疗急性胰腺炎的临床疗效。方法结合相关诊断标准,共纳入40例于2013年11月~2014年11月间我院接诊的急性胰腺炎患者进行研究,在进行编号后利用完全随机数表法分组,即观察组和对照组各20例,对照组患者入院之后给予肠外营养支持治疗;观察组患者在对照组常规治疗的基础之上,再联合采用肠内营养支持治疗,两组患者在接受定期治疗后,比较两组患者的治疗效果。结果观察组患者的住院天数明显短于对照组,观察组患者的并发症和感染发生率明显低于对照组,观察组患者的APACHEⅡ评分明显低于对照组,观察组患者的白蛋白含量明显高于对照组,且其谷丙转氨酶与对照组比较有显著下降,组间对照差异明显(P<0.05)。结论肠内外营养方法的联合应用,有利于从多方面改善患者的营养状况,促进病情恢复,在急性胰腺炎的临床治疗中效果显著,应引起重视。
Objective To investigate the clinical efficacy of enteral and external nutritional support in the treatment of acute pancreatitis. Methods A total of 40 patients with acute pancreatitis treated in our hospital from November 2013 to November 2014 were enrolled in this study. All patients were divided into two groups according to the diagnostic criteria. The patients in the observation group and the control group The patients in the control group were given parenteral nutrition support after admission. The patients in the observation group were enrolled in the enteral nutrition support therapy on the basis of routine treatment in the control group. After two groups of patients received regular treatment, Group of patients treatment effect. Results The hospitalization days in the observation group were significantly shorter than those in the control group. Complications and infection rates in the observation group were significantly lower than those in the control group. The APACHE II score in the observation group was significantly lower than that in the control group. The albumin content in the observation group was significantly higher In the control group, and its alanine aminotransferase decreased significantly compared with the control group, the control group was significantly different (P <0.05). Conclusions The combined application of enteral nutrition and external nutrition is beneficial to improve the nutritional status of patients in various aspects and promote the recovery of the disease. It has achieved remarkable results in the clinical treatment of acute pancreatitis and should be taken seriously.