持续早期肠内营养联合“护肠合剂”对重症急性胰腺炎患者影响.pdf

复里太学博士研它i论文 持续早期弱内}摹联合‘护肠合柏。对t硅怎崔姨骧吏怎音的影响 I．ART1I Effectof ContinuousEnteralNutritionandSelective Early ofthe Tract he Decontamination DigestivebyUsing“Hu—changji”in Acute PatientsWithSevere Pancreatitis--AMulticenter Prospective RandomizedControlled1’rial Abstract A randomizedcontrolledtrialwasconductedtodeterminethe Objective prospective decontaminationofthe effectof continuousenteralnutritionandselective early tract heji”in withsevereacute digestivebyusing“Hu—changpatients pancreatitis barrier status，nitrogen (SAP)．Gutfunction，systemicinflammatoryresponse，immune in were after ortotal balanceandaminoacids nasojejunalfeeding plasmainvestigated nutritionwithSAP parenteral patients． Methodsthree withacute wereenrolledandrandomized Sixty patients pancreatitis into enteral total cases)andparenteralnutrition(TPN) early nutrition(EEN)group(29 wereinitiatedwhenhomeostasiswereachievedwithin orTPN ● group(34cases)．EEN 72 afterattack．Bothreceivedisocaloric nutrition．The hours group isonitr