Current status and influencing factors of enteral feeding intolerance in patients with severe acute pancreatitis

VernacularTitle:重症急性胰腺炎患者肠内营养喂养不耐受状况及其影响因素研究
Author: Ting CHEN ; Ting WANG ; Qing LI ; Yan HE ; Linlin CHEN ; Jingci ZHU
Keywords: Pancreatitis; Feeding Intolerance; Enteral Nutrition; Root Cause Analysis
From: Chinese Journal of Nursing 2017;52(6):716-720
CountryChina
Language:Chinese
Abstract: Objective To explore the occurrence of enteral feeding intolerance and its influencing factors in patients with severe acute pancreatitis. Methods A retrospective analysis of severe acute pancreatitis patients undergoing enteral nutrition therapy admitted to a tertiary hospital from October 2012 to October 2015 was performed. The occurrence of enteral feeding intolerance was analyzed,and its influencing factors were evaluated by single factor analysis and multivariate logistic regression analysis. Results There were 54 patients suffered from enteral feeding intolerance among 92 patients. The results of single factor analysis and multivariate regression analysis showed that higher APACHE II score,intra-abdominal pressure and central venous pressure were independent risk factors of feeding intolerance,while adding dietary fiber was a protective factor. Conclusion Severe acute pancreatitis patients with higher APACHE II score,intra-abdominal pressure and central venous pressure can aggravate the risk of feeding intolerance,while adding dietary fiber is beneficial for reducing the incidence.