2004•Zhonghua gan-dan waike zazhiRequires access

Therapeutic effects of reasonable nutrition support on severe acute pancreatitis

Xiong Jiong-xi

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Abstract

Objective To investigate the therapeutic effects of reasonable nutrition support on severe acute pancreatitis (SAP). Methods Ninety-six cases of SAP were randomized into 2 groups. Total parenteral nutrition (TPN) was performed in group A and combination of enteral and parenteral nutrition was done in group B. Serum endotoxin,urine L/M,CD4/CD8 and IgG were detected to evaluate permeability of enteral mucosa and immune function,respectively. Meanwhile,serum TNF-α,IL-6,infection rate and mortality were determined. Results CD4/CD8 and IgG were significantly higher but serum endotoxin,urine L/M,serum TNF-α,IL-6,infection rate and mortality markedly lower in group B than in group A (P0.05). Conclusions Reasonable combination of enteral and parenteral nutrition can inhibit release of inflammatory cytokines and media. Therefore,it is suitable for treatment of SAP.

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Objective To investigate the therapeutic effects of reasonable nutrition support on severe acute pancreatitis (SAP). Methods Ninety-six cases of SAP were randomized into 2 groups. Total parenteral nutrition (TPN) was performed in group A and combination of enteral and parenteral nutrition was done in group B. Serum endotoxin,urine L/M,CD4/CD8 and IgG were detected to evaluate permeability of enteral mucosa and immune function,respectively. Meanwhile,serum TNF-α,IL-6,infection rate and mortality were determined. Results CD4/CD8 and IgG were significantly higher but serum endotoxin,urine L/M,serum TNF-α,IL-6,infection rate and mortality markedly lower in group B than in group A (P0.05). Conclusions Reasonable combination of enteral and parenteral nutrition can inhibit release of inflammatory cytokines and media. Therefore,it is suitable for treatment of SAP.

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Available abstract

Objective To investigate the therapeutic effects of reasonable nutrition support on severe acute pancreatitis (SAP). Methods Ninety-six cases of SAP were randomized into 2 groups. Total parenteral nutrition (TPN) was performed in group A and combination of enteral and parenteral nutrition was done in group B. Serum endotoxin,urine L/M,CD4/CD8 and IgG were detected to evaluate permeability of enteral mucosa and immune function,respectively. Meanwhile,serum TNF-α,IL-6,infection rate and mortality were determined. Results CD4/CD8 and IgG were significantly higher but serum endotoxin,urine L/M,serum TNF-α,IL-6,infection rate and mortality markedly lower in group B than in group A (P0.05). Conclusions Reasonable combination of enteral and parenteral nutrition can inhibit release of inflammatory cytokines and media. Therefore,it is suitable for treatment of SAP.

Key concepts: Parenteral nutrition, Acute pancreatitis, Medicine, Gastroenterology, Urine, Internal medicine, Pancreatitis, Therapeutic effect

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