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目的:探讨经鼻空肠管肠内营养对急性重症胰腺炎病程的影响。方法:选取28例急性重症胰腺炎保守治疗者于入院后即经胃管注入生大黄,并待肠功能恢复后经鼻空肠管实施肠内营养。结果:与对照组相比,28例患者均无症状加重及血、尿淀粉酶反复,并发症发生率、平均住院费用及住院天数均较对照组明显降低。结论:对急性重症胰腺炎患者经鼻空肠管肠内营养不会增加胰腺负担,可改善患者的营养状况,减少并发症及降低住院费用。
Objective: To investigate the effect of nasogastrointestinal enteral nutrition on the course of acute severe pancreatitis. Methods: Twenty-eight patients with conservative treatment of acute severe pancreatitis were injected with rhubarb via the gastric tube after admission, and enteral nutrition was administered through the nasal jejunum after recovery of intestinal function. Results: Compared with the control group, all 28 patients showed no symptom exacerbations and blood and urine amylase recurrences. The incidence of complications, average hospitalization costs and days of hospitalization were significantly lower than those of the control group. Conclusion: The enteral nutrition in nasal jejunum does not increase the burden of pancreas in patients with acute severe pancreatitis, which can improve the nutritional status of patients, reduce complications and reduce hospitalization costs.