2种引流方案在急性梗阻性化脓性胆管炎急诊救治中的应用效果比较  

Application effect comparison of two drainage schemes in emergency treatment of acute obstructive suppurative cholangitis

作　　者：孙仁虎 金海林 韩树堂 SUN Renhu;JIN Hailin;HAN Shutang(Center of Digestive Endoscopy,Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nanjing,210029,China)

机构地区：[1]南京中医药大学附属医院暨江苏省中医院消化内镜中心,南京210029

出　　处：《临床急诊杂志》2020年第8期603-607,共5页Journal of Clinical Emergency

摘　　要：目的:比较胆道塑料支架内引流和内镜鼻胆管外引流2种引流方案在急性梗阻性化脓性胆管炎急诊救治中的应用效果。方法:选取我院2017-01—2019-12期间收治的90例急性梗阻性化脓性胆管炎患者为研究对象,按照随机数余数分组法分为观察组(n=45)与对照组(n=45),对照组采取胆道塑料支架内引流,观察组采取内镜鼻胆管外引流,对2组实验室指标、肝功能、症状恢复时间、并发症发生率进行比较。结果:治疗前2组实验室指标、肝功能相比较,差异无统计学意义(P>0.05);治疗后与治疗前相比较,差异有统计学意义(P<0.05);观察组治疗后实验室指标、肝功能与对照组相比较,差异无统计学意义(P>0.05);观察组症状恢复时间、并发症发生率与对照组相比较,差异无统计学意义(P>0.05)。结论:在急性梗阻性化脓性胆管炎急诊救治中2种引流方案均能够取得良好的引流效果,可根据患者实际情况合理选用。Objective: To compare the effect of two drainage schemes in emergency treatment of acute obstructive suppurative cholangitis. Method: Ninety patients with acute obstructive suppurative cholangitis admitted in our hospital from January 2017 to December 2019 were enrolled as the research objects, and were divided into an observation group(n=45) and a control group(n=45), the control group used internal drainage of biliary plastic stents, and the observation group used external endoscopic nasal bile duct drainage to compare the laboratory indicators, liver function, recovery time of symptoms, and incidence of complications between the two groups. Result: There were no statistically significant differences between the two groups of laboratory indicators and liver function before treatment(P>0.05). After treatment, laboratory indicators and liver function of the two groups obviously changed and the differences between the two groups were statistically significant(P<0.05). Compared with the control group, the indicators and liver function had no statistically significant difference(P>0.05);the recovery time of symptoms and the incidence of complications in the observation group were not statistically significant compared with the control group(P>0.05). Conclusion: In the emergency treatment of acute obstructive suppurative cholangitis, both drainage schemes can achieve good drainage effect, which can be reasonably selected according to the actual situation of patients.

关 键 词：急性梗阻性化脓性胆管炎 胆道塑料支架内引流 内镜鼻胆管外引流 

分 类 号：R675.42[医药卫生—外科学]