Choice of Nutrition Support for Severe Acute Pancreatitic Patients

Objective To explore reasonable nutrition support method for severe acute pancreatitis(SAP).Methods 42 patients were randomly divided into total parenteral nutrition group(TPN)and enteral nutrition+parenteral nutrition group(PN+EN).Treatment results of two groups were compared and analysed.Results In 42 patients,the complication incidence was 54.8%,mortality was 23.8%(10/42).The complication incidence of PN group was 66.7%(14/21),mortality was 33.3%(7/21);The complication incidence of PN+EN group was 42.9%(9/21),mortality was(14.3)%(3/21).Complication incidence and mortality of two groups were no significantly difference(χ~2=2.403,P=0.121;χ~2=2.100,P=0.147).Nutrition supports time in the TPN group and PN+EN group were 20~64 days(30.7±12.1) and 14~30(20.2±5.1)days respectively.Two groups were significantly difference(t=4.738,P=0.000).Conclusion PN+EN group couldn't significantly improve the prognosis of SAP,but it could notably shorten nutrition supports time.