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空肠肠内营养支持联合微生态制剂治疗重症急性胰腺炎患者的效果
Effect of jejunal enteral nutrition support combined with microecologics in the treatment of patients with severe acute pancreatitis

内科 202318卷04期 页码:338-341

作者机构:甘肃省金昌市人民医院(1 重症医学科,2 普外科),金昌市757100

基金信息:

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨空肠肠内营养支持联合微生态制剂治疗重症急性胰腺炎患者的效果。方法选取32例重症急性胰腺炎患者,随机将其分为常规组和研究组,每组16例。常规组行常规治疗和空肠肠内营养支持治疗,研究组在常规组的基础上联合微生态制剂治疗,两组均连续治疗1周。比较两组患者的临床疗效、血清指标、生活质量和肠道菌群情况。结果治疗前,两组患者血清淀粉酶、血清降钙素原、血清肌酐水平,以及肠道肠杆菌、肠球菌、双歧杆菌、乳酸杆菌数量差异均无统计学意义(均P>0.05)。治疗1周后,研究组治疗总有效率高于常规组,血清淀粉酶、血清降钙素原、血清肌酐水平,以及肠道肠杆菌、肠球菌数量均低于常规组,简明健康状况调查表各维度评分、肠道双歧杆菌数量和乳杆菌数量均高于常规组(均P<0.05)。结论空肠肠内营养支持联合微生态制剂可有效地改善重症急性胰腺炎患者的生活质量,降低炎症因子水平和调节肠道菌群。
ObjectiveTo investigate the effect of jejunal enteral nutrition support combined with microecologics in the treatment of patients with severe acute pancreatitis. MethodsA total of 32 patients with severe acute pancreatitis were selected and randomly divided into a conventional group or an experimental group, with 16 cases in each group. The conventional group was given routine treatment and jejunal enteral nutrition support, based on which the experimental group was treated with microecologics, and both groups were treated continuously for 1 week. The clinical efficacy, serum indexes, quality of life, and intestinal flora of patients in the two groups were compared. ResultsBefore treatment, there was no statistically significant difference in serum amylase, procalcitonin, or creatinine level between the two groups, nor was there in the intestinal number of Enterobacteriaceae, Enterococcus, Bifidobacterium, or Lactobacillus (all P>0.05). After 1 week of treatment, the total effective rate of treatment in the experimental group was higher than that in the conventional group, the serum levels of amylase, procalcitonin, and creatinine, as well as the intestinal numbers of Enterobacteriaceae and Enterococcus, were lower than those in the conventional group; the score of the 36-Item Short Form Health Survey on each dimension and the intestinal numbers of Bifidobacterium and Lactobacillus in the experimental group were higher than those in the conventional group (all P<0.05). ConclusionJejunal enteral nutrition support combined with microecologics can effectively improve the quality of life for patients with severe acute pancreatitis, reduce their their inflammatory factors levels, and regulate intestinal flora.

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