摘 要
重症胰腺炎是一种高发病率和病死率的急腹症，其治疗过程中营养支持与护理管理至关重要鉴于传统治疗方案在改善患者预后方面存在局限性，本研究旨在探讨优化的营养支持策略及系统化护理管理模式对重症胰腺炎患者的临床效果研究采用前瞻性队列设计，选取120例重症胰腺炎患者，随机分为对照组和干预组，干预组实施以肠内营养为主的个体化营养支持，并结合多维度护理管理措施结果表明，干预组患者并发症发生率显著降低，住院时间明显缩短，营养状态改善更为显著此外，干预组患者的生活质量评分和满意度均高于对照组本研究创新性地提出基于早期肠内营养支持的综合护理模式，有效提升了患者的临床结局，为重症胰腺炎的治疗提供了新思路和实践依据关键词：重症胰腺炎，营养支持，肠内营养
Abstract
Severe pancreatitis is an acute abdominal condition with high incidence and mortality rates, and nutritional support along with nursing management plays a critical role in its treatment. Given the limitations of traditional treatment protocols in improving patient outcomes, this study aimed to investigate the clinical effects of an optimized nutritional support strategy and a systematic nursing management model on patients with severe pancreatitis. A prospective cohort design was employed, enrolling 120 patients with severe pancreatitis who were randomly divided into a control group and an intervention group. The intervention group received individualized nutritional support primarily based on enteral nutrition, combined with multidimensional nursing management measures. The results demonstrated that the intervention group experienced a significantly reduced complication rate, markedly shorter hospital stays, and more pronounced improvements in nutritional status. Furthermore, the intervention group reported higher quality-of-life scores and greater satisfaction compared to the control group. This study innovatively proposed a comprehensive nursing model based on early enteral nutrition support, which effectively enhanced clinical outcomes for patients and provided new insights and practical evidence for the treatment of severe pancreatitis.
Key Words：Severe Pancreatitis, Nutritional Support, Enteral Nutrition
目 录
一、绪论 1
（一）重症胰腺炎营养支持的研究背景与意义 1
（二）国内外研究现状分析 2
二、重症胰腺炎患者的营养支持策略 3
（一）营养评估与需求计算 3
（二）肠内营养的应用与优化 4
（三）肠外营养的实施与调整 5
三、重症胰腺炎患者的护理管理方案 6
（一）病情监测与动态评估 6
（二）并发症预防与管理 7
（三）心理支持与健康教育 8
四、营养支持与护理管理的综合效果评价 9
（一）治疗效果的量化分析 10
（二）患者生活质量的影响评估 11
（三）改进措施与未来方向 12
结论 13
参考文献 14
致 谢 16
