超声引导下PCD术在重症急性胰腺炎治疗中的应用效果分析  

Analysis of the Effect of Ultrasound-guided PCD in the Treatment of Severe Acute Pancreatitis

作　　者：梁庆艳 LIANG Qing-yan(Department of Gastroenterology,Yishui County People's Hospital,Linyi,Shandong Province,276400 China)

机构地区：[1]山东省临沂市沂水县人民医院消化内科,山东临沂276400

出　　处：《中外医疗》2020年第19期188-190,共3页China & Foreign Medical Treatment

摘　　要：目的对在重症急性胰腺炎的临床治疗中应用超声引导下的经皮穿刺置管引流(PCD)术的效果进行分析和探究。方法便利选择该院收治的重症急性胰腺炎患者80例作为该次研究纳入的研究对象,选取时间段为2018年1月—2019年3月,按照随机数字表法将这些患者划分常规治疗组和PCD组,每组40例。采用常规治疗的方式对常规治疗组予以治疗,采用PCD术对PCD组予以治疗,对两组患者的治疗效果进行观察和比较。结果常规治疗组中达到了62.5%的总有效率;PCD组达到了90.0%的总有效率。PCD组的总有效率明显高于常规治疗组(χ^2=6.837,P<0.05)。PCD组的症状消失时间(11.2±2.4)d、血淀粉酶恢复正常时间(6.2±1.7)d、住院时间(23.7±3.1)d明显低于常规治疗组(15.1±4.0)d、(9.1±2.3)d,(34.2±4.5)d(t=3.672、3.858、3.493,P<0.05)。常规治疗组达到了32.5%的并发症发生率,PCD组达到了12.5%的并发症发生率。PCD组的并发症发生率明显低于常规治疗组(χ^2=6.725,P<0.05)。结论采用PCD术对重症急性胰腺炎患者进行治疗具有非常显著的效果,而且可以有效地减少患者的并发症,属于一种切实有效的重症急性胰腺炎治疗方法。Objective To analyze and explore the effect of ultrasound-guided percutaneous catheterization(PCD)in the clinical treatment of severe acute pancreatitis.Methods Eighty patients with severe acute pancreatitis admitted to the hospital were convenienty selected as the research subjects included in this study.The time period was selected from January 2018 to March 2019.These patients were divided into conventional treatment groups and PCD according to the random number table method,40 cases in each group.The conventional treatment group was used to treat the conventional treatment group,and the PCD group was treated with the PCD operation.The treatment effects of the two groups of patients were observed and compared.Results TIn the conventional treatment group,the total effective rate reached 62.5%;in the PCD group,the total effective rate reached 90.0%.The total effective rate of the PCD group was significantly higher than that of the conventional treatment group(χ^2=6.837,P<0.05).The time of symptom disappearance(11.2±2.4)d,blood amylase recovery time(6.2±1.7)d,hospital stay(23.7±3.1)d in the PCD group was significantly lower than that in the conventional treatment group(15.1±4.0)d,(9.1±2.3)d,(34.2±4.5)d(t=3.672,3.858,3.493,P<0.05).The conventional treatment group achieved a 32.5%complication rate,and the PCD group achieved a 12.5%complication rate.The incidence of complications in the PCD group was significantly lower than that in the conventional treatment group(χ^2=6.725,P<0.05).Conclusion The use of PCD for the treatment of patients with severe acute pancreatitis has a very significant effect,and can effectively reduce the complications of patients.

关 键 词：超声引导 PCD 穿刺引流 重症急性胰腺炎 疗效 

分 类 号：R657.51[医药卫生—外科学]