Influence of different nutritional support ways on intestinal dysbacteriosis in patients with severe acute pancreatitis
10.3760/cma.j.issn.1673-4904.2011.05.012
- VernacularTitle:不同营养支持方式对重症急性胰腺炎患者肠道菌群失调的影响分析
- Author:
Cuiling MA
- Publication Type:Journal Article
- Keywords:
Pancreatitis,acute necrotizing;
Nutritional support;
Enteral nutrition;
Parenteral nutrition,total;
Dysbacteriosis
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(5):31-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of different nutritional support ways on intestinal dysbacteriosis in patients with severe acute pancreatitis (SAP).Methods Sixty-six patients with SAP from January 2003 to June 2010 were divided into study group and control group according to random digits table,33 cases in each group,they were treated with enteral nutrition and total parenteral alimentation support treatment respectively and the incidence of intestinal dysbacteriosis was observed and compared.Results In 7 - 10 d after the onset of SAP,the number of escherichia coli and enterococci in study group were significantly lower than those in control group,the difference was statistically significant (P ＜ 0.05 );the number of bifidobacterium and lactobacillus were significantly higher than those in control group (P ＜ 0.05 ).A total of 25 patients in both groups occurred intestinal dysbacteriosis,the total incidence was 37.9%,the incidence in study group was 24.2% (8/33) and which was significantly lower than that in control group [51.5%( 17/33 )](P ＜ 0.05 ).Conclusion Enteral nutrition support treatment can reduce the incidence of intestinal dysbacteriosis in patients with SAP,its efficacy is better than parenteral nutrition.
