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编号:10288671
急性重症胰腺炎经鼻空肠置管早期肠内营养的疗效观察
http://www.100md.com 《中国临床营养杂志》 2000年第1期
     作者:李杰 陈杰 马凤藻 游凯涛

    单位:首都医科大学附属北京红十字朝阳医院

    关键词:

    中国临床营养杂志000147摘 要:目的探讨及评价区域性动脉灌注(RAI)治疗急性重症胰腺炎(SAP)过程中,经鼻空肠置管早期肠内营养的方法及疗效。 方法SAP行RAI治疗中,对经鼻空肠置管早期肠内营养和完全胃肠外营养(TPN)两组共62例患者进行疗效观察,对其营养状况、脏器功能、并发症发生率等作对比分析。 结果经鼻空肠置管早期肠内营养,与TPN使患者营养状况改善情况相同,但患者消化道、肝脏功能恢复快,并发症发生率低。 结论只要方法正确,经鼻空肠置管早期肠内营养无创伤、痛苦小、安全有效,对于改善机体免疫力、营养状况,降低并发症发生率作用显著。

    The effection of enteral nutrition through nasogastrojejunal tube on severe acute pancreatitis

    LI Jie ,CHEN Jie ,MA Fengzhao

    (Red Cross Chaoyang Hospital, Beijing)

    Abstract:Objective To study and evaluate therapeutic response of enteral nutrition through nasogastrojejunal tube in course of the regional arterial infusion(RAI) for the treatment of patients with severe acute panereatitis (SAP). Methods Of total 62 patients,therapeutic response of 27 eases treated with naso-gastrojejunal tube enteral nutrition has been compared with that of 35 cases treated with total parenteral nutrition (TPN) in the organic functions、status of alimentation and the risk of complications. Results The curative effect of nasogastrojejunal tube enteral nutrition is the same as that of TPN in improving nutritional status of patients, and better than TPN in the recovery of hepatic、gastroenteral function and in reducing the risk of the complication. Conclusions Only if carried out, rationally nasogastrojejunal tube early enteral nutrition is safe and effective, it Could improve the the nutritional status and immune function and reduce the risk of complications., http://www.100md.com