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肠内营养支持对重症急性胰腺炎患者免疫功能指标与营养指标的影响
Effects of enteral nutrition support on immune function indexes and nutritional indexes in patients with severe acute pancreatitis

内科 202217卷06期 页码:634-637+653

作者机构:中国人民解放军联勤保障部队第九〇四医院普外科,江苏省无锡市214000

基金信息:*通信作者:沈刘艳,中国人民解放军联勤保障部队第九〇四医院普外科

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2022.06.11

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目的探讨肠内营养支持对重症急性胰腺炎患者免疫功能指标和营养指标的影响。方法选取86例重症急性胰腺炎患者作为研究对象,将其随机分为对照组和观察组各43例。对照组行全肠外营养支持,观察组行肠内营养支持。对比两组治疗前后炎症控制情况、免疫功能指标、营养指标和预后情况。结果治疗7 d后,观察组血清C反应蛋白、肿瘤坏死因子-α、白细胞介素-6水平均低于对照组,外周血免疫球蛋白A、免疫球蛋白G、CD3+、CD4+水平均高于对照组,血清白蛋白、转铁蛋白水平均高于对照组, 急性生理学和慢性健康状况评分Ⅱ、改良CT严重指数评分均低于对照组(均P<0.05)。结论肠内营养支持用于重症急性胰腺炎患者可有效地控制患者炎症反应,提升其免疫功能指标和营养指标水平,并进一步促进其预后改善。
ObjectiveTo explore the effects of enteral nutrition support on immune function indexes and nutritional indexes in patients with severe acute pancreatitis. MethodsA total of 86 patients with severe acute pancreatitis were selected as research subjects and randomly divided into a control group or an observation group, with 43 cases in each group. The control group was given total parenteral nutrition support, while the observation group was given enteral nutrition support. The inflammation control, immune function indexes, nutritional indexes before and after treatment, as well as the prognosis were compared between the two groups. ResultsAfter 7 days of treatment, the serum levels of C-reactive protein, tumor necrosis factor-α and interleukin-6 in the observation group were lower than those in the control group, the peripheral blood levels of immunoglobulin A, immunoglobulin G, CD3+ and CD4+ in the observation group were higher than those in the control group; the serum levels of albumin and transferrin in the observation group were higher than those in the control group, while the Acute Physiology and Chronic Health EvaluationⅡ score and modified CT severity index score in the observation group were lower than those in the control group (all P<0.05). ConclusionIn the treatment of patients with severe acute pancreatitis, enteral nutrition support can effectively control their inflammatory response, improve their immune function indexes levels and nutritional indexes levels, and further promote their prognosis.

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