不同方式营养支持对重症急性胰腺炎患者治疗效果的影响观察

摘要

Objective To observe the application analysis of the clinical effect of different nutritional support treatment for severe acute pancreatitis patients .Methods From January 2012-December 2014 , 88 cases of severe acute pancreatitis patients as the research ob-ject, according to the different way of nutritional support was divided into two groups : single group (n=44), a joint group (n=44).A single set of pure give parenteral nutrition (PN) in patients with treatment, joint group patients give the PN with enteral nutrition (EN) therapy, the clinical therapeutic effect of two groups were compared .Results After treatment, the joint group of patients with plasma diam-ine oxidase , D-lactic acid was significantly lower than that of a single group , serum albumin level was significantly higher than single group, there was significant difference between groups (P<0.05), with statistical significance.A joint group of patients with abdominal distension relief time and hospitalization time was obviously less than a single group , compare the differences between groups with statistical significance (P<0.05).Joint group of patients with abdominal pain , diarrhea, double infection, incidence of complications such as ab-dominal infection was significantly lower than that of a single group , there was significant difference between groups ( P<0.05 ) , with sta-tistical significance.Conclusion For patients with severe acute pancreatitis PN , EN combined treatment could significantly reduce plasma diamine oxidase , D-lactic acid levels , improve the level of serum albumin , reduce abdominal distension relief time and length of hospital stay, reduce complications , with the characteristics of safe , reliable and efficient , which was a worthy of clinical use and promotion way of nutritional support.%目的：观察分析重症急性胰腺炎患者应用不同营养支持方式治疗的临床效果。方法将收治的88例重症急性胰腺炎患者为研究对象，根据营养支持方式不同分为单一组与联合组。结果治疗后，联合组患者的血浆二胺氧化酶、D－乳酸水平显著低于单一组，血清白蛋白水平显著高于单一组，组间比较差异有统计学意义（ P＜0．05）。联合组患者的腹胀缓解时间与住院时间明显少于单一组，组间比较差异有统计学意义（ P＜0．05）。联合组患者腹痛、腹泻、二重感染、腹腔感染等并发症发生率显著低于单一组，组间比较差异有统计学意义（ P＜0．05）。结论可以显著降低血浆二胺氧化酶、D－乳酸水平，提高血清白蛋白水平，缩短腹胀缓解时间与住院时间，减少并发症的发生，具有安全、可靠、高效的特点，是一种值得临床选用与推广的营养支持方式。