Dissertation > Excellent graduate degree dissertation topics show

Application of Freka Trelumina in Treatment of Acute Pancreatitis

Author: ZhangJian
Tutor: GongAiXia
School: Dalian Medical University
Course: Internal Medicine
Keywords: Freka Trelumina Enteral Nutrition Acute Pancreatitis
CLC: R576
Type: Master's thesis
Year: 2011
Downloads: 6
Quote: 0
Read: Download Dissertation

Abstract


Objective: Acute pancreatitis is a common acute abdominal pain in clinical, which has general experiencing stress and high catabolism state. Therefore, nutrition support treatment is very important to acute pancreatitis. Usually it has taken parenteral nutrition primarily before,but many scholars have proposed a enteral nutrition support treatment to acute pancreatitis, which provides a source of nutrition and avoids the risk of shifting the intestinal flora.Recentlly, the Freka Trelumina has been widely used in the treatment of acute pancreatitis. The Freka Trelumina has versatile design. It provides not only enteral nutrition, but also can gastrointestinal decompression. The aim of this study is to investigate the value of the Freka Trelumina in the treatment of acute pancreatitis based on the 47cases.Methods: Collect 154 inpatients according to the diagnostic criteria who were admitted to the First Affiliated Hospital of Dalian Medical University from March 2009 to March 2011.47 cases were selected according to the excluding standards. These cases were divided into two groups according to treatment methods, 17 cases were selected as treatment group (placing the Freka Trelumina after admission) and 30 cases were selected as control group (not placing the Freka Trelumina after admission).The treatment group was placed the Freka Trelumina after admission by gastroscope,treating with gastrointestinal decompression and feeding with enteral nutrition. When enteral nutrition energy was not enough, given the parenteral nutrition,at the same time,using other medicine. The control group was fasted and forbidden water, undering gastrointestinal decompression,feeding with parenteral nutrition. According to the patient response adjustmented parenteral nutrition dose.The rest treatments were the same as the treatment group.In the two groups, the general information, the incidence of nausea and vomiting, diarrhea, complications were compared. The utilization rate of antibiotics ,the average hospitalization time and the time to recovery of serum amylase were also be measured by SPSS17.0.Results:There was no difference between two groups about general information. The incidence of nausea and vomiting about treatment group was 41.18%, the control group was 73.33%,which was higher than treatment group ,there was difference between two groups(P<0.05). The incidence of diarrhea about treatment group was 52.94%, the control group was 23.33%, which was lower than treatment group ,there was same difference between two groups (P<0.05). The incidence of complications about treatment group was 29.41%, the control group was 60.00%, which was higher than treatment group ,there was same difference between two groups(P<0.05). The utilization rate of antibiotics, treatment group had 13 cases (76.47%), the control group had 25 cases (83.33%), there was no difference between two groups(P>0.05). The average hospitalization time about treatment group was 15.53±10.64 days, the control group was 14.53±6.56 days,there was no difference between two groups(P>0.05). The time to recovery of serum amylase about treatment group was 7.53±1.34 days, the control group was 8.53±1.72 days,there was same difference between two groups(P<0.05).Conclusions:Feeding with enteral nutrition by Freka Trelumina,it can reduce the incidence of complications,nausea and vomiting, and it also can shorten the time to recovery of serum amylase.Placing Freka Trelumina by gastroscope has high success rate,and it is very simple and safy.

Related Dissertations

  1. Professor Zhang Shuwen academic thinking,and 59 cases of Chinese and Western medicine combined with clinical research for diagnosis and treatment of acute pancreatitis,R249.2
  2. Analysis of Death-related Risk Factors in Fulminant Acute Pancreatitis,R657.51
  3. Clinical analysis of 978 cases of acute pancreatitis,R576
  4. Studies on the Plasma DNA Quantification and the Gene Expression Profiles of Patients with Acute Pancreatitis,R576
  5. The Clinical Analysis of Relationship between Metabolic Syndrome and Acute Pancreatitis,R589
  6. Early enteral nutrition in the treatment of edematous pancreatitis clinical significance,R576
  7. Death in patients with severe acute pancreatitis risk factors,R576
  8. Clinical Study of Nutritional Support in Oral and Maxillofacial Malignant Tumor Patients after Operation,R739.8
  9. Analysis of Various Factors Influencing the Early Enteral Nutrition of Patients with Spontaneous Intracerebral Hemorrhage,R743.34
  10. Probiotics in Patients with Severe Acute Pancreatitis,R576
  11. Experimental Study of the Characteristic and Mechanism of Body Fluid Metabolism at Acute Reaction Phase of Severe Acute Pancreatitis,R657.51
  12. The Study of Multi-slice Spiral CT Perfusion Imaging in the Diagnosis of Acute Pancreatitis,R816.5
  13. Early enteral nutrition in severe acute pancreatitis comparative study with parenteral nutrition,R576
  14. The Role and Mechanism of JAK/STAT3 for Injury of AT-Ⅱ of Rat of Severe Acute Pancreatitis in Vitro,R576
  15. Study on the Epidural Block on the Treatment of Acute Pancreatitis,R614.42
  16. Serum IL-15 and MIF in Severe Acute Pancreatitis and the Impact of Traditional Chinese Medicine on Them,R576
  17. Bone marrow mesenchymal stem cells in rats with severe acute pancreatitis CD4 ~ CD25 ~ regulatory T cells influence and Integrative Medicine,R576
  18. Elderly patients with acute pancreatitis Clinical characteristics of,R576
  19. Study on the Principles of Thoracic Epidural Block on the Treatment of Acute Pancreatitis,R614.42
  20. The Study of Effect and Mechanisms of TLR4/NF-KB Signal Transduction Pathways of YI DAN Therapy of Rats with Severe Acute Panreatitis,R285.5

CLC: > Medicine, health > Internal Medicine > Digestive and abdominal diseases > Pancreatic diseases
© 2012 www.DissertationTopic.Net  Mobile