腹腔灌洗对重症急性胰腺炎APACHEⅡ评分和腹痛的影响  

The influences of peritoneal lavage on APACHEⅡscores and abdominal pain in patients with severe acute pancreatitis

作　　者：蔡筱彦[1] 朱惠明[1] 王琴[1] 钟运莲[1] 

机构地区：[1]暨南大学第二附属医院消化内科,广东深圳518020

出　　处：《临床和实验医学杂志》2006年第9期1301-1302,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的 探讨腹腔灌洗对重症急性胰腺炎(SAP)患者急性生理和慢性健康评分系统Ⅱ(APACHEⅡ)评分和腹痛的影响.方法 灌洗组32例SAP患者进行腹腔灌洗,对照组39例,均行综合内科治疗,比较两组患者的APACHEⅡ评分和腹痛评分.结果 两组治疗前APACHEⅡ评分和腹痛评分差异无显著性意义(P＞0.05).治疗第1～3天灌洗组APACHEⅡ评分较对照组显著降低 (P＜0.01),第4～5天无显著性差异.治疗后灌洗组腹痛评分均较对照组明显下降(P＜0.05 ).结论 腹腔灌洗可以降低SAP患者的APACHEⅡ评分和改善腹痛.Objective To investigate the influence of peritoneal lavage on APACHEⅡscores and abdominal pain in patients with severe acute pancreatitis(SAP).Methods 71 Patients were randomized to either peritoneal lavage group(n=32) or control group(n=39). APACHEⅡ scores and abdominal pain were compared.Results As compared with control group, APACHEⅡ scores were significantly decreased in the first three days in peritoneal lavage group (P<0.01), but the differences were no longer significant during 4～5 days; abdominal pain scores were significantly decreased (P<0.05) in peritoneal lavage group after the treatment began.Conclusion Peritoneal lavage could decreased the APACHEⅡ scores and relieved abdominal pain in SAP patients.

关 键 词：重症急性胰腺炎 腹腔灌洗 APACHEⅡ评分 腹痛 

分 类 号：R576[医药卫生—消化系统]