早期腹腔灌洗对重症急性胰腺炎治疗的效果探讨  

Observation of the Effect of Early Peritoneal Lavage in the Treatment of Severe Acute Pancreatitis

作　　者：刘亚辉[1] 

机构地区：[1]山东省临沂市郯城县第一人民医院,山东临沂276100

出　　处：《中外医疗》2015年第8期24-25,共2页China & Foreign Medical Treatment

摘　　要：目的探讨临床上对重症急性胰腺炎患者早期实施腹腔灌洗的方法和成效。方法以86例2013年1月1日—2014年1月1日之间在该院接受治疗的重症急性胰腺炎患者为研究对象,依据治疗手段的差异将其分为对照组(40例)和观察组(46例),前者应用的是常规治疗,后者是应用的常规治疗联合早期腹腔灌洗,对比两组患者的死亡率、全身炎症反应综合征持续时间、治疗有效率、平均住院时间、腹水淀粉酶水平。多器官功能障碍综合征器官数。结果两组患者治疗后,在以上观察指标上存在显著差异性,观察组均显著优于对照组,差异有统计学意义(P<0.05)。结论 临床上针对重症急性胰腺炎患者采用常规治疗联合早期腹腔灌洗治疗,能够有效促进患者的治疗和预后。Objective To investigate the method of early peritoneal lavage for patients with severe acute pancreatitis clinically and the effect. Methods 86 cases with severe acute pancreatitis treated in our hospital between January 1st, 2013 and January 1st, 2014 were selected as the subjects and divided into the control group（40 cases） and the observation group（46 cases） in accordance with the treatment regimen. The control group were treated by the conventional treatment, while the observation group were treated by the conventional treatment combined with early peritoneal lavage. And the mortality, duration of systemic inflammatory response syndrome, treatment efficiency, the average length of stay, ascites amylase level and the number of organs with multiple organ dys-function syndrome were compared between the two groups. Results After treatment, compared with the control group, the observa-tion group were much better in the aspects of the above observed indicators, and the differences between the two groups were sta-tistically significant （P〈0.05）. Conclusion For severe acute pancreatitis, clinical therapy combined with early peritoneal lavage can effectively promote the treatment and prognosis of the patients.

关 键 词：早期腹腔灌洗 重症急性胰腺炎 治疗效果 

分 类 号：R657.51[医药卫生—外科学]