急性胰腺炎患者组织氧供氧耗变化对预后的影响  

The effect of changes in tissue oxygen supply and oxygen consumption on prognosis of patients with acute pancreatitis

作　　者：常莉[1] 董芸[1] 冯璇璘[1] CHANG Li;DONG Yun;FENG Xuan-lin(ICU of Emergency,Sichuan Academy of Medical Science ＆ Sichuan Provincial People＇s Hospital,Chengdu 610072,China)

机构地区：[1]四川省医学科学院.四川省人民医院急诊ICU,四川成都610072

出　　处：《实用医院临床杂志》2018年第4期143-145,共3页Practical Journal of Clinical Medicine

摘　　要：目的探讨急性胰腺炎患者组织氧供氧耗变化对预后的影响。方法选取2016年1月至2017年10月本院诊治的60例急性胰腺炎患者,检测组织氧供氧耗指标(DO_2、DO_2I、VO_2、VO_2I、SaO_2、PaO_2及CaO_2),比较治疗前及治疗后24、48 h的CT严重程度指数(CTSI)评分及序贯器官衰竭评分(SOFA)。结果 CTSI评分及SOFA评分较高的急性胰腺炎患者治疗前及治疗后24、48 h的组织氧供氧耗指标(DO_2、DO_2I、VO_2、VO_2I、SaO_2、PaO_2及CaO_2)均差于评分较低者,差异有统计学意义(P<0.05)。结论急性胰腺炎患者的组织氧供氧耗显著异常,且不同CTSI评分及SOFA评分者的差异明显,可作为急性胰腺炎的诊治参考依据。Objective To investigate the effect of changes in tissue oxygen supply and oxygen consumption on prognosis of patients with acute pancreatitis.Methods Sixty patients with acute pancreatitis in our hospital from January 2016 to October 2017 were selected as research objects.The tissue oxygen supply and oxygen consumption indexes（ DO2,DO2I,VO2,VO2I,SaO2,PaO2 and CaO2）of all the patients were measured.The CT severity index（ CTSI） score and sequential organ failure assessment（ SOFA） score before and after 24 and 48 hours of treatment were compared.Results The tissue oxygen supply and oxygen consumption indexes in the patients with higher CTSI score and SOFA score before and after 24 and 48 hours of treatment were worse than those in the patients with lower scores（ P〈0. 05）.Conclusion The tissue oxygen supply and oxygen consumption of patients with acute pancreatitis were significantly different.The differences between patients with different CTSI score and SOFA score are obvious. Therefore,the changes can be used as a reference for diagnosis and treatment of acute pancreatitis.

关 键 词：急性胰腺炎 组织氧供氧耗 预后 

分 类 号：R576[医药卫生—消化系统]