【摘要】：目的探討早期腸內(nèi)營(yíng)養(yǎng)對(duì)重癥急性胰腺炎(SAP)預(yù)后的影響。方法選擇2008-2016年昆明醫(yī)科大學(xué)第一附屬醫(yī)院EICU收治的SAP患者36例,按照入院后48 h是否添加腸內(nèi)營(yíng)養(yǎng)(能全力)分為A、B兩組,記錄并對(duì)比兩組患者治療前后的APACHEⅡ評(píng)分、SOFA評(píng)分、并發(fā)癥發(fā)生情況及預(yù)后情況。結(jié)果兩組患者治療前APACHEⅡ評(píng)分、SOFA評(píng)分差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);治療后,兩組患者的APACHEⅡ評(píng)分、SOFA評(píng)分均明顯優(yōu)于治療前,且A組患者的改善情況明顯優(yōu)于B組(P0.05);兩組患者ICU住院時(shí)間、并發(fā)癥發(fā)生率、28 d及60 d死亡率比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論早期腸內(nèi)營(yíng)養(yǎng)能改善重癥急性胰腺炎的預(yù)后,建議今后臨床早期對(duì)重癥急性胰腺炎行腸內(nèi)營(yíng)養(yǎng)支持。
[Abstract]:Objective to investigate the effect of early enteral nutrition on the prognosis of (SAP) in severe acute pancreatitis (SAP). Methods from 2008 to 2016, 36 patients with SAP admitted to EICU, the first affiliated Hospital of Kunming Medical University, were divided into two groups according to whether enteral nutrition was added 48 hours after admission. Group B was divided into two groups. The APACHE II scores of the two groups before and after treatment were recorded and compared. SOFA score, complications and prognosis. Results there was no significant difference in APACHE 鈪，

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