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1、中南大學(xué)現(xiàn)代遠(yuǎn)程教育畢業(yè)論文論文題目重癥急性胰腺炎患者腸內(nèi)腸外營養(yǎng)支持的觀察姓名梁柳專業(yè)護(hù)理學(xué)層次本科入學(xué)時(shí)間2008年春管理中心江西教學(xué)管理中心學(xué)習(xí)中心江西電大學(xué)習(xí)中心指導(dǎo)教師肖紅2009年12月10日locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,due
2、tomissedfatal,whennightcame第7頁【摘要】目的:觀察重癥急性胰腺炎(severeacutepancreatitis,SAP)患者腸內(nèi)營養(yǎng)(EN)與腸外營養(yǎng)(TPN)支持對機(jī)體的影響。方法:將60例SAP患者隨機(jī)分為腸內(nèi)營養(yǎng)支持組和腸外營養(yǎng)支持組各30例,觀察兩組患者腹脹緩解時(shí)間、體溫恢復(fù)時(shí)間、平均住院天數(shù)及患者血清清蛋白的改善情況。結(jié)果:兩組患者腹脹緩解時(shí)間,體溫恢復(fù)時(shí)間,平均住院天數(shù)及患者的血清清蛋白的改善情況,EN患者的各項(xiàng)指標(biāo)均優(yōu)于TPN,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論:SAP患者行早期EN支持符合生理狀
3、態(tài),較TPN有更好的營養(yǎng)效果,且并發(fā)癥少,護(hù)理工作量輕,花費(fèi)少,是SAP患者較好的營養(yǎng)支持方式,值得臨床推廣應(yīng)用?!娟P(guān)鍵詞】重癥急性胰腺炎;早期腸內(nèi)營養(yǎng);腸外營養(yǎng)locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennig
4、htcame第7頁【Abstract】Objective:Toobservetheeffectoftheenteralnutrition(EN)andparenteralnutrition’(TPN)supportforthepatientswithsevereacutepancreatitis(SAP).Methods:60patientswithSAPwererandomlydividedintoenteralnutritionandparenteralnutritionsupportgroup,eachgroupwith30cases.T
5、oobservetheresponsetimeofabdominaldistension,therecoverytimebodytemperature,theaveragehospitalizationdaysandtheimprovementofserumalbumin.Results:theresponsetimeofabdominaldistension,therecoverytimebodytemperature,theaveragehospitalizationdaysandtheimprovementofserumalbumin,v
6、ariousindicatorsinthepatientswithENarebetterthanwithTPN,thedifferencewasstatisticallysignificant(P<0.05).Conclusion:thepatientswithSAPweregivenearlyENsupportinlinewithphysiologicalstate,betternutritioneffectthantheTPN,andfewcomplications,nursingworkloadlightly,inexpensiveand
7、isabetternutritionalsupportinpatientswithSAP,itwasworthyofclinicalapplication.【Keywords】severeacutepancreatitis;earlyenteralnutrition;parenteralnutritionlocatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(Wuzhe
8、nsaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightc