摘要
重型急性胰腺炎(severe acute pancreatitis,SAP)患者处于高分解代谢的状态,能量消耗大,机体呈负氮平衡,而负氮平衡的程度直接关系到疾病的严重程度.营养支持的目的是建立积极的氮平衡.近十年来的循证医学证据表明肠内营养可降低胰腺感染、器官功能衰竭的发生率和病死率.肠内营养(enteral nutrition,EN)不仅是一种营养支持方式,更是治疗SAP的重要措施.但对于EN开始的时机、途径、营养液成分及生态免疫制剂的使用等方面却一直存在争论.本文就EN开始的时间、方式及营养液成分等方面作一综述.
Severe acute pancreatitis （SAP） patients often have high catabolism, negative nitrogen balance and high energy consumption, and the degree of negative nitrogen balance is directly related to the severity of the disease. The purpose of nutritional support is to establish positive nitrogen balance. In nearly a decade, evidencebased evidence suggests that enteral nutrition can reduce the incidence of pancreatic infection, organ failure and mortality. Enteral nutrition is not only a way of nutritional support, but also for the treatment of SAP. However, there are some debates over the timing, ways, nutrient solution composition and the use of ecological immune preparations. In this review, we focus on the proper timing, way and nutrient solution composition of EN.
出处
《世界华人消化杂志》
CAS
北大核心
2014年第12期1658-1662,共5页
World Chinese Journal of Digestology
关键词
重型急性胰腺炎
肠内营养
Severe acute pancreatitis
Enteral nutrition
