选择性动脉介入治疗急性重症胰腺炎的疗效分析  

Efficacy of selective arterial interventional therapy in severe acute pancreatitis

作　　者：韩莹[1] 吴桂深[1] 李晓群[1] 宁晔[1] 何维熊[1] 蒋崇慧[1] 张健[1] 张高尚[1] 

机构地区：[1]中山市人民医院急诊重症监护室,广东省中山528403

出　　处：《中华急诊医学杂志》2005年第12期993-995,共3页Chinese Journal of Emergency Medicine

摘　　要：目的观察选择性动脉介入治疗急性重症胰腺炎(severe acute pancreatitis,SAP)患者的临床疗效。方法103例SAP患者,55例患者接受静脉注药治疗(对照组),48例患者接受选择性动脉介入治疗(介入组),比较接受两种治疗方法的患者在住院期间的临床疗效。结果分析对照组和介入组的临床疗效:两者病死率分别为16.4%和4.17%,(P<0.05);对照组和介入组血清淀粉酶恢复正常时间分别为(7.8±2.9)dvs.(3.5±1.6)d,(P<0.05);对照组和介入组中需外科手术者比率分别为(34.5%vs.16.7%),(P<0.05);介入组住院时间为(24.9±18.3)d,较对照组住院时间明显缩短。结论选择性动脉介入治疗有效地提高抢救成功率,减少患者出现严重并发症,从而降低病死率,缩短住院时间。Objective To compare the efficacy of selective artery interventional therapy and intravenous therapy in severe acute pancreatitis. Methods Among of 103 patients with severe acute pancreatitis, 55 were treated with intravenous therapy , 48 were treated with selective arterial interventional therapy. The clinical outcomes between two groups were compared. Results Mortality was higher in the intravenous therapy group than in the interventional therapy group （16.4% vs. 4.25 %, P 〈 0. 05）. The time for serum amylase to normalize was less in the interventional therapy group than in the intravenous therapy group （3.5 ±1.6） d vs. （7.8 ±2.9） d, （ P 〈 0.05）. The operation rate between intravenous therapy group and the interventional therapy group was 35.3% vs. 17 %, （ P 〈 0.05）o The average was less in the interventional therapy group than in intravenous therapy group. Conclusion The selective artery interventional therapy was more effective than intravenous therapy in severe acute pancreatitis. Interventional therapial could reduce the mortality and length of stay of patients with SAP.

关 键 词：急性重症胰腺炎 介入治疗 静脉注药 

分 类 号：R576[医药卫生—消化系统]