谢敏华 雷霞 王春 夏丽娟 杨少林 潘泓

[摘要] 目的 分析多学科营养干预在高甘油三酯血症急性胰腺炎患者中的应用效果。 方法 以本院2018年1月至2020年12月收治的40例高甘油三酯血症急性胰腺炎患者为研究对象，按电脑随机数字表法分为两组，对照组20例予以常规营养支持治疗，试验组20例予以多学科营养治疗，比较两组生化指标、临床症状改善效果及并发症发生情况。 结果 治疗后，试验组的血清白蛋白、血红蛋白、前白蛋白及血钙水平均高于对照组，而血糖、甘油三酯、C-反应蛋白及血清淀粉酶水平低于对照组，差异有统计学意义（P<0.05）;试验组的腹痛、腹胀症状缓解时间、住院时间均短于对照组，差异有统计学意义（P<0.05）;试验组的并发症发生率为10.00%，低于对照组的40.00%，差异有统计学意义（P<0.05）。 结论 多学科营养干预在高甘油三酯血症急性胰腺炎患者中的应用可促使生化指标、临床症状改善，降低并发症发生率。

[关键词] 多学科营养干预;高甘油三酯血症急性胰腺炎;生化指标;并发症

[中图分类号] R576.1          [文献标识码] B          [文章编号] 1673-9701（2021）34-0048-04

[Abstract] Objective To analyze the effect of multidisciplinary nutrition intervention in patients with acute pancreatitis with hypertriglyceridemia. Methods A total of 40 patients with acute pancreatitis with hypertriglyceridemia admitted to our hospital from January 2018 to December 2020 were selected. They were randomly divided into two groups using computer digital table method， with 20 patients in each group. The control group were given conventional nutrition support， and the experimental group were given multidisciplinary nutrition treatment. The biochemical indicators， improvement effects of clinical symptoms， and complications were compared between the two groups. Results After treatment， the levels of serum albumin， hemoglobin， prealbumin and calcium in the experimental group were higher than those in the control group， while the levels of blood glucose， triglyceride， C-reactive protein， and serum amylase in the experimental group were lower than those in the control group， with statistically significant differences（P<0.05）.The relief time of abdominal pain and bloating， and length of hospital stay in the experimental group were shorter than those in the control group， with statistically significant differences（P<0.05）.The incidence of complications in the experimental group was 10.00%，which was higher than that in the control group as 40.00%， with statistically significant difference（P<0.05）. Conclusion The application of multidisciplinary nutritional intervention in patients with acute pancreatitis with hypertriglyceridemia can promote the improvement of biochemical indicators and clinical symptoms and reduce the incidence of complications.

[Key words] Multidisciplinary nutrition intervention; Acute pancreatitis with hypertriglyceridemia; Biochemical indicators; Complications

高甘油三酯血癥胰腺炎为急性胰腺炎中的常见类型，高甘油三酯血症易诱导腺体细胞损伤，导致胰腺炎严重程度升高，并伴随严重性局部并发症、全身并发症，引起重症胰腺炎[1]。当前，临床治疗高甘油三酯血症急性胰腺炎患者的主要措施为营养支持，然而高甘油三酯血症急性胰腺炎患者的代谢功能和疾病自身存在特殊性，常规营养支持治疗方案难以满足其病情需求[2]。多学科营养干预为近年来兴起的一种专业治疗措施，通过由主治医师、营养师、营养药师等组成多学科营养管理团队，制定针对性营养治疗策略，实施个体化营养支持治疗，通过为高甘油三酯血症急性胰腺炎患者提供系统、规范、优质的治疗，从而缓解其病情，促进疾病转归[3]。……