多学科团队协作模式在急性胰腺炎诊治中的应用价值  

Value applying multiple disciplinary team in diagnosis and treatment of acute pancreatitis

作　　者：曹举潮[1] 马力[1] 郝建志[1] 李海量 曾毓[1] 江奕恒[1] 李晓锋[1] Cao Juchao;Ma Li;Hao Jianzhi;Li Hailiang;Zeng Yu;Jiang Yiheng;Li Xiaofeng(Emergency Department,Guangdong Second Provincial General Hospital,Guangzhou 510317,China)

机构地区：[1]广东省第二人民医院,广州510317

出　　处：《国际医药卫生导报》2020年第16期2371-2373,共3页International Medicine and Health Guidance News

基　　金：广州市科技计划项目(201904010257)。

摘　　要：目的研究多学科团队协作模式在急性胰腺炎诊治中的应用价值。方法选取本院2016年7月至2020年3月共计138例急性胰腺炎患者;2018年7月至2020年3月设为观察组,观察组采用多学科协作诊治理念进行急性胰腺炎的诊治;2016年7月至2018年6月设为对照组,对照组遵照急性胰腺炎诊治指南常规诊治。观察两组死亡人数、轻症急性胰腺炎和中重症急性胰腺炎转为重症急性胰腺炎患者人数、总住院时间、主要并发症(感染、胰腺假性囊肿、腹腔内出血)等。采用SPSS 20.0进行统计学分析,计数资料采用卡方检验,计量资料采用t检验,P<0.05差异有统计学意义。结果观察组死亡人数、轻症急性胰腺炎和中重症急性胰腺炎转为重症急性胰腺炎患者人数明显少于对照组,差异有统计学意义(均P<0.05);观察组总住院时间明显少于对照组,差异有统计学意义(P<0.05);观察组主要并发症明显少于对照组,差异有统计学意义(均P<0.05)。结论多学科团队协作模式能有效提高急性胰腺炎的诊治水平,是急性胰腺炎诊治的最佳模式。Objective To study the value applying multiple disciplinary team in the diagnosis and treatment of acute pancreatitis.Methods From July,2016 to March,2020,a total of 138 patients with acute pancreatitis treated in our hospital were selected.The patients treated from July,2018 to March,2020 were set as an observation group.The observation group adopted the concept of multi-disciplinary collaborative diagnosis and treatment for acute pancreatitis.The patients treated from July,2016 to June,2018 were set as a control group.The control group took routine diagnosis and treatment according to the diagnosis and treatment guidelines for acute pancreatitis.The number of death,the number of the patients with mild acute pancreatitis and moderate severe acute pancreatitis converting to severe acute pancreatitis,the total length of stay,and the main complications(infection,pseudocyst of pancreas,and intraperitoneal hemorrhage)were observed.SPSS 20.0 was used for statistical analysis;chi square test was used for counting data;and t test was used for measuring data.P<0.05 indicates that there is a statistical difference.Results The number of death and the number of the patients with mild acute pancreatitis and medium severe acute pancreatitis converting to severe acute pancreatitis were significantly smaller in the observation group than in the control group(both P<0.05).The total length of stay was shorter and incidences of main complications were lower in the observation group than in the control group(all P<0.05).Conclusion Multiple disciplinary team can effectively improve the diagnosis and treatment of acute pancreatitis,and is the best mode of diagnosis and treatment of acute pancreatitis.

关 键 词：急性胰腺炎 多学科团队协作 住院时间 并发症 

分 类 号：R576[医药卫生—消化系统]