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目的探讨鼻空肠管在急性重症胰腺炎(SAP)患者中的应用价值。方法对景德镇市第三人民医院消化科2011年01月到2012年8月收治的20例急性胰腺炎患者应用空肠营养管给予肠内营养(EN),与本院2009年8月至2010年11月收治的18例SAP患者应用全胃肠外营养(TPN)进行对比分析。结果两组患者营养支持后血清白蛋白和血清前白蛋白水平均较治疗前有显著改善(P<0.05),但两组组间改善情况比较无显著性差异(P>0.05);EN组APACHE II评分及CT评分较TPN组下降明显,差异有统计学意义(P<0.05)。结论经鼻胃镜放置鼻空肠营养管对于改善机体营养状况、减少并发症及促进脏器功能恢复具有显著效果,且方法简单,患者易接受,为临床保守治疗急性重症胰腺炎提供了一条新途径。
Objective To investigate the value of nasal jejunum in patients with acute severe pancreatitis (SAP). Methods 20 cases of acute pancreatitis admitted to Department of Gastroenterology, Third People ’s Hospital of Jingdezhen from January 2011 to August 2012 were enterally fed enteral nutrition (EN) with our hospital from August 2009 to November 2010 18 cases of SAP patients treated with total parenteral nutrition (TPN) for comparative analysis. Results The levels of serum albumin and serum albumin before and after nutritional support in both groups were significantly improved (P <0.05), but there was no significant difference between the two groups (P> 0.05). The APACHE II score and CT score decreased significantly compared with TPN group, the difference was statistically significant (P <0.05). Conclusion Nasal endoscopic jejunal feeding tube placed on the nutritional status of the body to reduce the complications and to promote organ function recovery has a significant effect, and the method is simple, the patient is easy to accept, for the clinical conservative treatment of acute severe acute pancreatitis provides a new way.