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[目的]探讨早期肠内营养对重症急性胰腺炎治疗的临床价值。[方法]将70例重症急性胰腺炎患者随机分为研究组和对照组，研究组早期给予肠内营养（72 h之内），对照组延迟给予肠内营养。观察两组营养支持治疗效果及并发症发生率、外科手术干预率、住院时间及治疗花费情况。[结果]研究组肠蠕动恢复时间早于对照组，并发症发生率、手术干预率、住院时间及花费均低于对照组，差异有统计学意义（ P ＜0．05）。[结论]对重症急性胰腺炎患者，早期给予肠内营养能减少并发症发生率，改善预后。“,”[Objective]To explore the clinical value of early enteral nutrition for the treatment of acute severe pancreatitis .[Methods] Totally 70 patients with acute severe pancreatitis were randomly divided into study group and control group .The study group was given early enteral nutrition ,while the control group was given delayed enteral nutrition .The efficacy ,the incidence of complications ,operative intervention rate ,hospital stay and cost of nutritional support were observed .[Results]The recovery time of enterokinesia in the study group was earlier than that in the control group .The incidence of complications ,operative intervention rate ,hospital stay and cost in the study group were lower than those in the control group .There were significant differences .[Conclusion]Early enteral nutrition for the treatment of patients with acute severe pancreatitis can reduce the incidence of com -plications and improve the prognosis .