Abstract
Objective To improve the nutritional status and prognosis of postoperative patients with severe acute pancreatitis. Methods A total of 56 patients with severe acute pancreatitis were randomly divided into the observation group(n=28) and control group(n=28) from April 2012 to April 2014. On the basis of the conventional parenteral vien nutrition, enteral nutrition was applied respectively on the third day after surgery in observation group and on the seventh day after surgery in control group, respectively. The levels of prealbumin, albumin, the percentage of Nitrogen balance and infection rate of the two groups were compared. Results All the 56 patients recovered well postoperatively, with no death or infection. Three days after the surgery, patients′ nutritional indicators had no statistically significant difference (P>0.05). Ten days after the surgery, prealbumin, albumin and Nitrogen balance values in the observation group were (320.41±12.3)mg/L, (39.26±6.25)g/L and (0.65±0.31)%, respectively, which were significantly better than those in the control group (t=5.739 4, 5.901 7, 1.907 9, respectively; P 0.05). Conclusions Concerning the tolerance and prognosis, the best time for applying enteral nutrition is about five days after surgery. If patients can be tolerated, the early enteral nutrition can effectively reduce the infection rate and complications. Key words: Severe acute pancreatitis; Postoperative complications; Enteral nutrition
Published Version
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