摘要
目的研究重症急性胰腺炎治疗中早期肠内营养的效果。方法方便选取2022年9月—2023年8月青岛市黄岛区中医医院收治的80例重症急性胰腺炎患者为研究对象,根据营养方式治疗的不同分为对照组(n=40)和研究组(n=40)。对照组给予常规肠外营养治疗;研究组给予早期肠内营养治疗。对比两组患者的治疗有效率、营养状态、炎症因子水平、免疫功能、并发症发生率。结果研究组治疗有效率为97.50%(39/40),高于对照组的80.00%(32/40),差异有统计学意义(χ^(2)=4.507,P<0.05)。研究组营养状态评分为(1.03±0.24)分,优于对照组的(3.52±1.25)分,差异有统计学意义(t=12.372,P<0.05)。研究组炎症因子水平低于对照组,免疫功能优于对照组,并发症发生率低于对照组,差异均有统计学意义(P均<0.05)。结论通过早期肠内营养,患者的营养状况得到优化,免疫功能增强,炎症因子水平降低,并发症风险下降,治疗效果显著提升。
Objective To study the effect of early enteral nutrition in the treatment of severe acute pancreatitis.Methods A total of eighty patients with severe acute pancreatitis admitted to Huangdao District Traditional Chinese Medicine Hospital of Qing dao from September 2022 to August 2023 were conveniently selected as the research subjects.According to the different nutritional methods,they were divided into control group(n=40)and study group(n=40).The control group was given conventional parenteral nutrition treatment,while the study group was given early enteral nutrition treatment.The treatment efficiency,nutritional status,levels of inflammatory factors,immune function,and complication rate were compared between the two groups.Results The treatment efficiency of the study group was 97.50%(39/40),which was higher than 80.00%(32/40)in the control group,and the difference was statistically sig-nificant(χ^(2)=4.507,P<0.05).The nutritional status score of the study group was 1.03±0.24,which was better than 3.52±1.25 in the control group,and the difference was statistically significant(t=12.372,P<0.05).The levels of inflam-matory factors in the study group were lower than those in the control group,the immune function was better than that in the control group,and the complication rate was lower than that in the control group,and the differences were statis-tically significant(all P<0.05).Conclusion Through early enteral nutrition,the nutritional status of patients is opti-mized,the immune function is enhanced,the level of inflammatory factors is reduced,the risk of complications is re-duced,and the treatment effect is significantly improved.
作者
韩玉霞
曹荣荣
吕洋
HAN Yuxia;CAO Rongrong;LYU Yang(Department of Geriatrics,Huangdao District Traditional Chinese Medicine Hospital,Qingdao 266500,Shandong,China)
出处
《系统医学》
2025年第12期40-43,共4页
Systems Medicine
关键词
重症急性胰腺炎
早期肠内营养
免疫功能
并发症
炎症因子
Severe acute pancreatitis
Early enteral nutrition
Immune function
Complications
Inflammatory factors
作者简介
韩玉霞(1979—),女,本科,主治医师,研究方向为老年神经内科;通信作者:吕洋(1983—),男,本科,主治医师,研究方向为老年神经内科,E-mail:223111467@qq.com。
