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目的探讨肠内营养联合肠外营养治疗重症急性胰腺炎临床观察。方法将我院收治的65例重症急性胰腺炎患者随机分为两组,治疗组32例采取肠内营养联合肠外营养治疗,对照组33例采取全肠外营养治疗,观察两组患者治疗前后的各项指标。结果两组患者治疗前血清白蛋白水平无明显差异,治疗后均有所改善,治疗组的血清白蛋白营养指标略高于对照组,手术失败率、病死率、感染发生率略低于对照组。结论肠内联合肠外营养治疗重症急性胰腺炎优于全肠外营养治疗,它减少了并发症发生率、降低患者病死率,缩短平均住院时间,是治疗重症急性胰腺炎安全有效的一种方法。
Objective To investigate the clinical effects of enteral nutrition combined with parenteral nutrition in the treatment of severe acute pancreatitis. Methods Sixty-five patients with severe acute pancreatitis admitted to our hospital were randomly divided into two groups. 32 cases in the treatment group received enteral nutrition and parenteral nutrition, while 33 cases in the control group took total parenteral nutrition treatment. Before and after treatment, Of the indicators. Results There was no significant difference in serum albumin level before treatment and after treatment in both groups. The serum albumin nutrition index of the treatment group was slightly higher than that of the control group. The failure rate, mortality and infection rate of the two groups were slightly lower than those of the control group . Conclusion Enteral parenteral nutrition treatment of severe acute pancreatitis is better than total parenteral nutrition treatment, which reduces the incidence of complications, reduce patient mortality and shorten the average hospital stay, is a safe and effective treatment of severe acute pancreatitis .