早期鼻空肠营养给予整蛋白制剂与短肽制剂治疗急性重症胰腺炎的对比分析

doi:10.3969/j.issn.1006-6233.2018.04.006

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Abstract Objective: To investigate the effects of early nasal jejunal nutrition on patients with acute severe pancreatitis (SAP) treated with whole protein preparations and short peptide preparations. Methods: Eighty patients with SAP who were admitted to hospital from May 2015 to May 2017 were randomly divided into two groups. The whole protein preparation group was given nutritional support of whole protein preparation, and the short peptide preparation group was short peptide preparation. The two groups of diseases severity parameter, infection index, nutrition index and complication. Results: The levels of APACHEⅡscore, SOFE score, nutrition risk score and CTSI score in the whole protein preparation group were significantly lower than those in the short peptide preparation group at 14th day after nutrition was turned on. The levels of plasma endotoxin, plasma DAO and urine IFABP The levels of PCT, amylase, plasma endotoxin, plasma DAO, urine IFABP and ferritin were significantly lower than those of the short peptide preparation group on the 14th day after nutrition. The pre-albumin and albumin levels were significantly higher than those of the short peptide (P<0.01). The overall complication rate was significantly lower than that of the short peptide preparation group (P<0.05). Conclusion: The effect of early nasal jejunal administration of whole protein preparation on SAP is significant and has reference value.

Key words： Early nasal jejunal nutrition Whole protein preparation Short peptide preparation Acute severe pancreatitis

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LI Caixia,et al. Comparation of Early Naso-jejunal Nutrition Giving Whole Protein Preparation and Short Peptide Preparation in the Treatment of Acute Severe Pancreatitis[J]. HeBei Med, 2018, 24(4): 548-551.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.04.006 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I4/548

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