ICU重症胰腺炎患者采用肠内营养治疗的临床价值(1)
[摘要] 目的 探讨关于肠内营养治疗方法应用于ICU重症胰腺炎患者的临床价值。方法 回顾性分析2015年1月—2017年6月期间纳入该院ICU治疗的100例重症胰腺炎患者，查找病案室病例并记录统计相关数据。按照入院后治疗情况分为两组，每组50例，第一组进行的是肠内营养支持治疗，第二组进行的是一般常规治疗。分别观察并记录两组的临床效果，对比两组患者治疗前后血红蛋白水平、白蛋白水平以及各项临床指标的改善情况。结果 入院到出院，第一组患者血红蛋白以及白蛋白从(124.1±15.37)、(30.59±5.46)g/L到(92.54±20.34)、(37.98±3.56)g/L，第二组患者血红蛋白和白蛋白则从(125.68±15.31)、(30.47±5.76)g/L到(122.67±25.16)、(30.47±5.76)g/L。平均营养改善水明显优于第二组，差异有统计学意义(P<0.05)；且采取肠内营养治疗的患者，肠功能恢复时间为(11.06±5.13)d以及患者住院时间(16.51±4.13)d，相对于第二组肠功能恢复时间(18.51±6.15)d和住院时间(23.34±6.46)d均有所缩短(P<0.05)。结论 采取肠内营养支持疗法治疗ICU重症胰腺炎患者，可以加快患者肠道功能的恢复，促进患者恢复健康的速度，从而降低患者的住院时间，有利于患者预后康复，具有较高的临床价值，值得临床借鉴。
[关键词] ICU；重症胰腺炎；肠内营养治疗；临床价值
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2017)11(a)-0020-03
[Abstract] Objective To study the clinical value of enteral nutrition treatment of ICU severe pancreatitis patients. Methods 100 cases of severe pancreatitis patients treated in ICU in our hospital from January 2015 to June 2017 were selected and the related data were counted and the patients were divided into two groups with 50 cases in each according to the treatment situation after admission， respectively treated with enteral nutrition and general routine method， and the clinical effect of the two groups was respectively observed and the hemoglobin level， albumin level and improvement of various clinical indexes of the two groups before and after treatment were compared. Results The hemoglobin level and albumin level in the first group and in the second group from admission to discharge were respectively (124.1±15.37)，(30.59±5.46)，(92.54±20.34)，(37.98±3.56)，(125.68±15.31)，(30.47±5.76)，(122.67±25.16)，(30.47±5.76)g/L， and the improvement level of average nutrition level was obviously better than that in the second group(P<0.05)， and the difference was statistically significant， and the intestinal function recovery time and length of stay in the first group were shortened compared with those in the second group， [(11.06±5.13)，(16.51±4.13)d vs (18.51±6.15)，(23.34±6.46)d](P<0.05). Conclusion The enteral nutrition therapy in treatment of severe pancreatitis patients can accelerate the recovery of intestinal function and promote the recovery rate thus reducing the length of stay， promoting the prognosis recovery with higher clinical value， and it is worth clinical reference.
[Key words] ICU； Severe pancreatitis； Enteral nutrition treatment； Clinical value
重癥胰腺炎是ICU常见的危重症疾病，具有起病急，病情进展迅速，病情凶险，且并发症多、致死率较高等特点，对患者的身心健康及生命安全都有着极大的威胁。过去在临床上主要采取的是肠外营养的治疗方式来对重症胰腺炎患者进行治疗，由于患者静脉营养长期缺乏、而且处于禁食状态会导致患者自身的抵抗力大大减弱，使患者极易发生各种感染以及水电解质紊乱等严重的不良后果[1-2]。使用肠内营养支持疗法可大大降低患者继发感染的概率，对患者的预后有着积极的作用。为了研究ICU重症胰腺炎患者有效的营养支持疗法，该次研究回顾分析了2015年1月—2017年6月间在该院ICU接受治疗的100例重症胰腺炎患者，现作报道如下。, 百拇医药(孙莉)
[关键词] ICU；重症胰腺炎；肠内营养治疗；临床价值
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2017)11(a)-0020-03
[Abstract] Objective To study the clinical value of enteral nutrition treatment of ICU severe pancreatitis patients. Methods 100 cases of severe pancreatitis patients treated in ICU in our hospital from January 2015 to June 2017 were selected and the related data were counted and the patients were divided into two groups with 50 cases in each according to the treatment situation after admission， respectively treated with enteral nutrition and general routine method， and the clinical effect of the two groups was respectively observed and the hemoglobin level， albumin level and improvement of various clinical indexes of the two groups before and after treatment were compared. Results The hemoglobin level and albumin level in the first group and in the second group from admission to discharge were respectively (124.1±15.37)，(30.59±5.46)，(92.54±20.34)，(37.98±3.56)，(125.68±15.31)，(30.47±5.76)，(122.67±25.16)，(30.47±5.76)g/L， and the improvement level of average nutrition level was obviously better than that in the second group(P<0.05)， and the difference was statistically significant， and the intestinal function recovery time and length of stay in the first group were shortened compared with those in the second group， [(11.06±5.13)，(16.51±4.13)d vs (18.51±6.15)，(23.34±6.46)d](P<0.05). Conclusion The enteral nutrition therapy in treatment of severe pancreatitis patients can accelerate the recovery of intestinal function and promote the recovery rate thus reducing the length of stay， promoting the prognosis recovery with higher clinical value， and it is worth clinical reference.
[Key words] ICU； Severe pancreatitis； Enteral nutrition treatment； Clinical value
重癥胰腺炎是ICU常见的危重症疾病，具有起病急，病情进展迅速，病情凶险，且并发症多、致死率较高等特点，对患者的身心健康及生命安全都有着极大的威胁。过去在临床上主要采取的是肠外营养的治疗方式来对重症胰腺炎患者进行治疗，由于患者静脉营养长期缺乏、而且处于禁食状态会导致患者自身的抵抗力大大减弱，使患者极易发生各种感染以及水电解质紊乱等严重的不良后果[1-2]。使用肠内营养支持疗法可大大降低患者继发感染的概率，对患者的预后有着积极的作用。为了研究ICU重症胰腺炎患者有效的营养支持疗法，该次研究回顾分析了2015年1月—2017年6月间在该院ICU接受治疗的100例重症胰腺炎患者，现作报道如下。, 百拇医药(孙莉)