腹腔留置中心静脉导管联合抗生素治疗肝硬化腹水合并自发性细菌性腹膜炎疗效观察  

Efficacy of Abdominal Indwelling Central Venous Catheter Combined With Antibiotics in the Treatment of Cirrhotic Ascites with Spontaneous Bacterial Peritonitis

作　　者：宋梅 何进伟 李乐 何丽丽 骆莉娟 Song Mei;He Jinwei;Li Le;He Lili;Luo Lijuan(Department of Infection,Lianzhou People's Hospital,Qingyuan 513400)

机构地区：[1]连州市人民医院感染科,清远513400

出　　处：《数理医药学杂志》2020年第6期835-836,共2页Journal of Mathematical Medicine

摘　　要：目的:探讨腹腔留置中心静脉导管联合抗生素治疗肝硬化腹水合并自发性细菌性腹膜炎的疗效。方法:将92例肝硬化合并自发性细茵性腹膜炎患者随机分为两组,对照组用抗生素治疗,治疗组腹腔穿刺置管引流联合抗生素治疗,比较患者腹水中性粒细胞数、PC、肝功指标等。结果:治疗组总有效率(78.26%)明显优于对照组总有效率为(47.83%)(P<0.05);两组的PCT均低于治疗前,且治疗组低于对照组;白蛋白水平治疗组高于对照组(P<0.05),且均高于治疗前。结论:腹腔留置中心静脉导管联合抗生素治疗肝硬化腹水合并自发性细菌性腹膜炎,能显著改善患者治疗效果。Objective:To investigate the curative effect of abdominal indwelling central venous catheter combined with antibiotics in treating cirrhotic ascites with spontaneous bacterial peritonitis. Methods:92 patients with cirrhosis complicated with spontaneous fine peritonitis were randomly divided into two groups, the control group was treated with antibiotics, and the treatment group with abdominal cavity puncture catheter drainage combined with antibiotic treatment. To compare the number of ascites neutrophils in patients, PCT, liver function index. Results:The total effective rate of the treatment group(78.26%) was significantly better than that of the control group(47.83%),(P<0.05);The PCT of the two groups were both lower than before treatment, and the treatment group was lower than the control group;The albumin level in the treatment group was higher than the control group(P<0.05), and both were higher than before treatment. Conclusion:Abdominal indwelling central venous catheter combined with antibiotic in the treatment of cirrhotic ascites with spontaneous bacterial peritonitis can significantly improve the therapeutic effect of patients.

关 键 词：肝硬化腹水 自发性细菌性腹膜炎 腹腔留置中心静脉导管 

分 类 号：R575.2[医药卫生—消化系统]