非胆源性重症急性胰腺炎腹腔引流及临床处理的相关研究  

Peritoneal drainage and clinical management of non biliary severe acute pancreatitis

作　　者：黄永生 曾恒健 刘玲 Huang Yongsheng;Zeng Hengjian;Liu Ling(The People＇s Hospital of xingguo County,Xingguo,Jiangxi 342400;The People＇s Hospital of Xinfeng County,Xinfeng,Jiangxi 341600)

机构地区：[1]兴国县人民医院,江西兴国342400 [2]信丰县人民医院,江西信丰341600

出　　处：《基层医学论坛》2018年第20期2753-2754,共2页The Medical Forum

基　　金：赣州市指导性科技计划项目(GZ2017ZSF499)

摘　　要：目的分析非胆源性重症急性胰腺炎患者实施腹腔引流的临床疗效。方法选取2016年12月—2018年4月我院收治的84例非胆源性重症急性胰腺炎患者,随机分为2组各42例。研究组选择超声引导下经皮腹腔穿刺置管引流术及腹腔冲洗进行治疗,对照组行常规手术,对比2组治疗效果。结果研究组患者临床症状缓解时间短于对照组,且治疗满意度高于对照组,腹腔外源性感染率低于对照组,差异均有统计学意义(P<0.05)。结论非胆源性重症急性胰腺炎患者实施腹腔引流疗效较佳,可于临床推广应用。Objective To analyze the clinical efficacy of peritoneal drainage in patients with non biliary severea cute pancreatitis.Methods 84 patients with non biliary severe acute pancreatitis in our hospital from December 2016 to April 2018 were randomly divided into two groups, 42 cases in each group.The study group was treated by ultrasound guided percutaneous puncture drainage and peritoneal lavage.The control group received routine surgery, and compared the therapeutic effect of two groups.Results The time of remission of clinical symptoms was shorter in the study group than in the control group,and the treatment satisfaction was higher than that of the control group, the exogenous infectionrate in the abdominal cavity was lower than that in the control group （P〉 0.05） .Conclusion Peritoneal drainage iseffective in patients with non biliary severe acute pancreatitis, and it can be widely applied in clinic.

关 键 词：重症急性胰腺炎 非胆源性 腹腔引流 临床疗效 

分 类 号：R576[医药卫生—消化系统]