早期腹腔灌洗联合芒硝外敷对重症急性胰腺炎治疗的临床价值分析  

作　　者：吴林[1] 郑桂贞[1] 郑永平[1] 

机构地区：[1]汕头市中心医院,广东汕头515031

出　　处：《检验医学》2016年第B11期276-277,共2页Laboratory Medicine

摘　　要：目的研究分析早期腹腔灌洗联合拦硝外敷对重症急性胰腺炎（Severe acutc pancreatitis，SAP）治疗的临床价值。方法2014年1月至2016年1月期间，选择我院接收的SAP患者78例作为研究对象．将78例患者随机分为阿组，观察组39例和对照组39例。对照组予SAP常规治疗．观察组存常规治疗的基础上进行早期腹腔灌洗联合芒硝外敷治疗，对比两组患者的治疗效果。结果与对照组比较，观察组患者在治疗总有效率、腹水淀粉酶下降水平、平均住院时间、CRP值、APACHEII分值和NEU等方面均优于列照组，有统计学意义（P〈0．05）。结论早期腹腔灌洗联合芒硝外敷对SAP治疗的临床价值较高,并发症发生率低,值得推广应用。Objective To study the clinical value of early peritoneal lavage and Glaubefs salt for external in the treatment of severe acute pancreatitis （SAP）. Methods From January 2014 to January 2016, 78 cases of SAP received in our hospital were chosen as the research objects. 78 cases were randomly divided into two groups, 39 cases in the observation group and 39 cases in the control group. Patients in the control group were treated with routine treatment, and patients in the observation group were treated with early perito- neal lavage and Glauber＇s salt for external on the basis of conventional treatment, and the treatment effect of the two groups were com- pared. Results Compared with the control group, the total treatment efficiency, ascites amylase level, average hospital stay, CRP val- ue, APACHEII scores and NEU were better in the observation group, the difference was statistically significant （P〈0.05）. Conclusion Early peritoneal lavage and C-lauber＇s salt for external are a safety and effective therapy for SAP. It may become a basic choice for treating SAP.

关 键 词：早期腹腔灌洗 芒硝外敷 重症急性胰腺炎 价值 

分 类 号：R657[医药卫生—外科学]