重症急性胰腺炎连续性血液净化治疗的临床效果评价  

作　　者：张静[1] 王平[1] 王国祥[1] 张丽涓[1] 陈倪[1] 

机构地区：[1]成都市第五人民医院重症医学科,四川成都611130

出　　处：《世界中医药》2015年第A02期1015-1015,共1页World Chinese Medicine

摘　　要：目的总结重症急性胰腺炎（SAP）行连续性血液净化治疗的效果评价.方法：回顾性分析2013年1月-2014年12月期间我科收治重症急性胰腺患者,采用传统方法基础上联合连续性血液净化（CBP）治疗分为观察组,单独采用传统方法治疗的患者为对照组.比较两组患者急性生理和慢性健康状况评分（APACHE Ⅱ评分）、降钙素原（PCT）、C反应蛋白（CRP）、血淀粉酶（AMS）.结果：两组患者中,持续血液净化治疗APACHE Ⅱ评分、降钙素原（PCT）、C反应蛋白（CRP）、血淀粉酶（AMS）较前明显好转.观察组指标显著低于对照组（P〈0.05）.结论：重症胰腺炎的联系血液净化治疗可清除炎性物质,减少全身炎症反应,改善患者预后,降低死亡率.ObjectiveSummary of severe acute pancreatitis （SAP） the effect of continuous blood purification therapy evaluation. Methods：A retrospective analysis in January 2013 - December 2014 during my treating severe acute pancreatitis patients as the research object, using the traditional method on the basis of combined therapy with continuous blood purification （CBP） is divided into observation group, patients treated with traditional method for control group separately. Compare two groups of patients with acute physiology and chronic health evaluation （APACHE Ⅱ score）, calcitonin （PCT） and c-reactive protein （CRP）, blood amylase （AMS）. Results：Two groups of patients, continuous blood purification therapy APACHE Ⅱ score, calcitonin （PCT） and c-reactive protein （CRP）, blood amylase （AMS） is obviously improved. Observation group index was significantly lower than control group （P 〈 0.05）. Conclusion：Severe acute pancreatitis contact blood purification treatment can remove inflammatory substances, reduce the systemic inflammatory response, improve the prognosis of patients, reduce mortality.

关 键 词：连续性血液净化 重症 急性胰腺炎 效果评价 

分 类 号：R576[医药卫生—消化系统]