2内营养治疗急性重症胰腺炎20例临床护理.pdfVIP

·论著· 鼻空肠管早期肠内营养治疗急性重症 胰腺炎20例临床护理 甘华。杨小梅 (广西医科大学第八附属医院·贵港市人民医院广西贵港537100) 摘要 患者随机分为经鼻空肠管早期EN治疗SAP20例(EN组)，全疗程全胃肠外营养(TPN)治疗SAP22例(11PN组)，观察 两组治愈率、病死率、细菌或霉菌感染率、住院时间和平均住院费用的差异。结果：EN组患者住院时间、住院费用及细 菌或霉菌感染的发生率均低于TPN组(P0．05)。治愈率、病死率两组比较无统计学意义，无一例患者因行EN治疗而 加重SAP病情。结论：经鼻空肠管早期EN治疗对SAP是一种安全有效的营养方法，值得临床推广应用。 关键词急性重症胰腺炎；肠内营养；护理 中图分类号：R473．5文献标识码：A 文章编号：1006—7256(2010)03—0001—02 Clinical careinthetreatmentof20 withsevereacute nursing patients pancreatitisbyearly enteralnutritionvia tube nasogastrojejunal Can Xiao—mei Hua，玩，tg Medical (No．8 ofGuangxiUniversityIGuigangGuangxi537100，China) AffiliatedHosp如al Abstract the methodsinthetreatmentofsevereacute enteral Objective：Toexplorenursing pancreatitis(SAP)byearly were EN withSAP dividedinto nutrition(EN)vianasogastrojiejunaltube．Methods：42patients randomly earlygroup(Ⅱ=20) andtotal cure or infection nutrition(TPN)group(凡=22)．Therate-mortality。bacterialfungal parenteral andthe costof wereobservedbetweenthetwo enteralnutritionvianfllsO- days averagehospitalization groups．Results：Theearly of and reduced andtheincidenceof tubecouldshortenthe COSTS gastrojejunal lengthhospitalizationsignificantlyhospitalization bacterialor wereno differencesinthe ofcurerate infection酗well(PO．05)．There fungal statisticallysignificant comparison the