肠镜联合乌司他丁治疗急性胆源性胰腺炎的临床疗效  

clinical effect of duodenoscopic procedures combined ulinastain on acute biliary pancreatitis

作　　者：饶华 张可 

机构地区：[1]重庆市九龙坡区第二人民医院普外肝胆科,400052

出　　处：《检验医学与临床》2013年第24期3312-3313,共2页Laboratory Medicine and Clinic

摘　　要：目的分析早期十二指肠镜技术联合乌司他丁治疗急性胆源性胰腺炎的临床疗效。方法选择九龙坡区第二人民医院诊治的120例急性胆源性胰腺炎患者,40例保守治疗,40例早期十二指肠镜技术联合乌司他丁治疗,40例早期十二指肠镜治疗。分析比较3组患者血淀粉酶恢复时间、腹痛缓解时间、肝功能恢复时间等。结果十二指肠镜技术联合乌司他丁组与其他两组比较患者腹痛缓解时间、肝功能、血淀粉酶、体温恢复时间及腹部体征消失时间等明显缩短,差异有统计学意义(P<0.05)。3组患者白细胞恢复时间比较差异无统计学意义(P>0.05)。结论早期十二指肠镜技术联合乌司他丁治疗急性胆源性胰腺炎临床疗效满意,是安全可靠的治疗方法。Objective To analyze the effection of duodenoscopic procedures combined ulinastain on acute bili-ary pancreatitis in the early days .Methods A tatol of 120 patients with acute biliary pancreatitis were selected in this study ,40 cases treated with conservative treatment ,40 cases with early duodenoscopic procedures combined with uli-nastain ,40 cases only with early duodenoscopic therapy .Analyzed and compared recovery time of blood amylase ,ab-dominal pain relief time ,and liver function recovery time among the three groups .Results Compared with those of the other two groups ,abdominal pain relief time ,liver function ,blood amylase ,temperature recovery time and ab-dominal signs disappeared time of the duodenoscopic procedures combined with ulinastatin group were shorter ,the differences between them were significant （P0 .05） .Conclusion The early combined therapy of duodenoscopic procedures and ulinastain on acute biliary pancreatitis satisfaction ,is safe and reliable .

关 键 词：十二指肠镜技术 乌司他丁 急性胆源性胰腺炎 

分 类 号：R657.51[医药卫生—外科学]