急诊ERCP治疗急性胆源性胰腺炎200例临床观察  

Clinical observation of 200 cases of acute biliary pancreatitis treated by emergency ERCP

作　　者：朴光熙[1] 金红旭[1] PIAO Guangxi;JIN Hongxu(Department of Emergency Medicine,the General Hospital of Shenyang Military,Shenyang 110016,China)

机构地区：[1]沈阳军区总医院急诊医学部,辽宁沈阳110016

出　　处：《中国现代医生》2018年第20期99-100,104,共3页China Modern Doctor

摘　　要：目的探讨急诊ERCP治疗急性胆源性胰腺炎的疗效。方法选取2016年1月~2018年1月在我院收治的急性胆源性胰腺炎患者200例,将患者随机分为观察组和对照组,各100例,对照组采取常规保守治疗,观察组采取急诊ERCP治疗,比较两组患者治疗后的疗效。结果观察组患者治疗后的疗效优于对照组(P<0.05)。观察组患者的AMYL水平治疗后明显低于对照组(P<0.05)。结论急诊ERCP治疗急性胆源性胰腺炎可以显著提高临床疗效,降低淀粉酶水平,减轻患者的临床症状,缩短住院时间。Objective To investigate the efficacy of emergency ERCP in the treatment of acute gallstone pancreatitis. Methods 200 patients with acute gallstone panereatitis who were treated in our hospital from January 2016 to January 2018 were selected. Participants were randomly divided into observation group and control group with 100 cases each. The control group was treated with conventional conservative treatment. The observation group was treated with emergency ERCP. The curative effect and time of abdominal pain relief, gastrointestinal function recovery time and average length of hospitalization were compared between the two groups. The AMYL levels before and after treatment were also compared between the two groups. Results The curative effect of the observation group after treatment was better than that of the control group（P〈0.05）. The AMYL level of the observation group was significantly lower than that of the control group after treatment（P〈0.05）. Conclusion Emergency ERCP treatment of acute gallstone pancreatitis can signifi- cantly improve clinical efficacy, reduce amylase levels, reduce clinical symptoms, and shorten duration of hospitalization.

关 键 词：急性胆源性胰腺炎 急诊 ERCP AMYL水平 

分 类 号：R378.2[医药卫生—病原生物学]