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1、中南大学现代远程教育毕业论文论文题目重症急性胰腺炎患者肠内肠外营养支持的观察姓名梁柳专业护理学层次本科入学时间2008年春管理中心江西教学管理中心学习中心江西电大学习中心指导教师肖红2009年12月10日locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,due
2、tomissedfatal,whennightcame第7页【摘要】目的：观察重症急性胰腺炎(severeacutepancreatitis，SAP)患者肠内营养(EN)与肠外营养(TPN)支持对机体的影响。方法：将60例SAP患者随机分为肠内营养支持组和肠外营养支持组各30例，观察两组患者腹胀缓解时间、体温恢复时间、平均住院天数及患者血清清蛋白的改善情况。结果：两组患者腹胀缓解时间，体温恢复时间，平均住院天数及患者的血清清蛋白的改善情况，EN患者的各项指标均优于TPN，差异有统计学意义(P＜0.05)。结论：SAP患者行早期EN支持符合生理状
3、态，较TPN有更好的营养效果，且并发症少，护理工作量轻，花费少，是SAP患者较好的营养支持方式，值得临床推广应用。【关键词】重症急性胰腺炎；早期肠内营养；肠外营养locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennig
4、htcame第7页【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
