肠内免疫微生态营养、免疫增强型肠内营养对治疗重症急
性胰腺炎患者的比较研究
谢小华;章莉
【期刊名称】《中华普通外科学文献(电子版)》 【年(卷),期】2017(011)004
【摘要】Objective To compare the effects of enteral immune, enteral ecoimmunonutrition (EE), immune enhanced enteral nutrition (IE) on the efficacy, stool flora, prognosis and nutritional status in patients with severe acute pancreatitis (SAP).Methods From June 2015 to December 2016, ninety six patients with SAP were randomly divided into EE group and IE group, with 48 cases in each group. Meanwhile, 24 patients with SAP who were unable to undergo early enteral nutrition support due to severe abdominal distension during the same period were selected as control group. Comparison indexes of the three groups before and after intervention for 1 week and 2 weeks included efficacy indicators (serum albumin, amylase, white blood cell count), nutritional status index (albumin, transferrin) and the pathogenesis of 7-10 d after the fecal flora changes (dysbacteriosis incidence). After 2 weeks, side reactions, complications
and
adverse
prognosis
were
observed
and
analyzed.Results (1) 1 week and 2 weeks after intervention, serum albumin, amylase, WBC level of the three groups were lower than that before the intervention. White blood cell count, AMS recovery time in