在超脂性急性胰腺炎中,口腔和肠管再养之间的比较
1Department of General Surgery, Ordos Central Hospital, Inner Mongolia, China. 21969644@qq.com.
European review for medical and pharmacological sciences
|October 16, 2023
概括
口服再养 (ORT) 和肠道管养 (ETFT) 是超脂性急性胰腺炎 (HLAP) 的营养策略. ETFT导致了更多的症状,但ORT导致了更高的成本和更多的并发症,如外分泌功能不足和糖尿病.
科学领域:
- 胃肠病学 胃肠病学
- 消化系统疾病 消化系统疾病
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 超脂性急性胰腺炎 (HLAP) 是一个关键的消化紧急情况.
- 营养管理是HLAP治疗的关键.
- 口服再养 (ORT) 和肠道管养 (ETFT) 是常见的,但它们的比较疗效尚不清楚.
研究的目的:
- 为了比较ORT与ETFT在HLAP患者的临床结果.
- 描述ORT和ETFT之间症状负担,住院和长期并发症的差异.
主要方法:
- 在奥尔多斯中央医院对335名HLAP患者的回顾性研究 (2019年1月至2023年4月).
- 根据营养管理,患者被分为ORT和ETFT组.
- 评估的结果包括症状严重程度,实验室数据,住院时间,费用和外分泌功能缺陷和新发糖尿病的发生率.
主要成果:
- ETFT组的腹部疼痛和张张率显著更高.
- 两组实验室参数之间没有发现显著差异.
- 与ETFT组相比,ORT组的住院率更高,成本增加,表皮功能不充分和新发糖尿病的发病率更高.
结论:
- 中度严重的急性胰腺炎 (MSAP) 是HLAP的一种流行形式.
- 虽然ETFT可能会出现更严重的症状,但ORT与医疗保健利用率的增加和长期并发症有关,例如外分泌功能不足和新发糖尿病.
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