Current status of early nutritional support in patients with severe acute pancreatitis complicated with intestinal fistula
10.16151/j.1007-810x.2023.05.003
- VernacularTitle:重症急性胰腺炎合并肠瘘病人早期营养支持治疗单中心回顾性研究
- Author:
Shuo SHEN
1
;
Xue-Cheng ZHAO
;
Hou-Qin ZONG
;
Ze-Hua ZHAO
;
Jia-Qi LI
;
Hong-Lin YAO
;
Xiang-Hong YE
Author Information
1. 中国人民解放军东部战区总医院全军普通外科研究所,江苏南京 210002
- Keywords:
Intensive care;
Intestinal fistula;
Enteral nutrition;
Parenteral nutrition;
Nursing
- From:
Parenteral & Enteral Nutrition
2023;30(5):270-273
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of early nutritional support treatment in patients with severe acute pancreatitis complicated with intestinal fistula,and analyze the impact on the clinical outcomes of patients.Methods:Retrospective analysis was used to select the relevant data of 60 ICU admission patients with severe acute pancreatitis complicated with intestinal fistula of a tertiary hospital in Nanjing from May 2022 to May 2023,the statistics analysis of the patients'early nutritional support treatment were carried out,and explored the impact on clinical outcomes of patients.Results:A total of 45(75％)and 57(95％)patients started EN and PN treatment within 48 h of admission.The EEN calorie compliance rate after admission of 1 week was 44.2％.There was a difference in mechanical ventilation time and hospitalization expenses between the early enteral nutrition calorie group and non-compliance group,but no significant difference in the length of ICU stay(P＞0.005).Conclusion:The early enteral nutrition compliance rate of patients with severe acute pancreatitis combined with intestinal fistula is slightly lower.Compared with the early enteral nutrition non-compliance group,the enteral nutrition standard group has shorter mechanical ventilation time and lower total hospitalization costs,which can improve the clinical outcome of patients.
