论文部分内容阅读
急性胰腺炎(AP)是一种发病率和死亡率较高的暴发性疾病。最常见的致病因素是胆结石和酗酒,大多患者由于并发症的出现需长期住院治疗和进入重症监护室(ICU)治疗。通常情况下,急性胰腺炎的初始治疗包括禁食疗法(NPO)、镇痛药的使用和充足的静脉补液。对于几天内不能接受正常食物的病人来讲,营养支持是必需的;有大量的科学证据表明肠内营养优于全肠外营养(TPN)。肠内营养保护肠道黏膜完整性并防止细菌在肠道内过度生长。肠内营养明显减少了感染的风险、降低了手术干预的需要,并缩短了住院的时间。
Acute pancreatitis (AP) is a fulminant disease with a high morbidity and mortality. The most common causes of the disease are gallstones and alcoholism, and most patients require long-term hospitalization and intensive care unit (ICU) treatment due to complications. In general, initial treatments for acute pancreatitis include fasting therapy (NPO), use of analgesics, and adequate intravenous rehydration. Nutritional support is necessary for patients who can not receive normal food in a few days; there is ample scientific evidence that enteral nutrition is superior to total parenteral nutrition (TPN). Enteral nutrition protects the intestinal mucosal integrity and prevents bacteria from overgrowing in the intestine. Enteral nutrition significantly reduces the risk of infection, reduces the need for surgical intervention, and reduces hospitalization time.