论文部分内容阅读
目的:探讨重症胰腺炎(SAP)分阶段静脉营养(PN)、肠内营养(EN)对免疫力的提高及降低感染率的意义。方法:回顾性分析60例SAP患者随机分成两组,A组(试验组)分阶段PN、EN、B组(对照组)完全PN,对观察其并发感染率及免疫力提高的指标。结果:发病1周后,A组CD3、CD4、CD8、CD4/CD8比值均明显高于B组,A组免疫球蛋白IgG、IgA、IgM也均明显高于B组。A组感染率低于B组(P<0.05),有统计学意义。结论:分阶段PN、EN对降低SAP并发感染率及提高免疫力有重要意义。
Objective: To investigate the significance of progressive parenteral nutrition (PN) and enteral nutrition (EN) to improve immunity and reduce the infection rate of severe pancreatitis (SAP). Methods: Sixty patients with SAP were randomly divided into two groups. The patients in group A (experimental group) were divided into PN group, EN group and B group (control group). The indexes of concurrent infection rate and immunity were observed. Results: After 1 week, the ratio of CD3, CD4, CD8 and CD4 / CD8 in group A was significantly higher than that in group B. The immunoglobulin IgG, IgA and IgM in group A were also significantly higher than those in group B. The infection rate in group A was lower than that in group B (P <0.05), which was statistically significant. Conclusions: Staged PN and EN are important to reduce the incidence of SAP infection and improve immunity.