早期手术治疗胆源性急性胰腺炎患者的临床疗效  

Clinical Efficacy of Early Surgical Treatment of Patients with Biliary Acute Pancreatitis

作　　者：贺书杰[1] HE Shujie(Department of Hepatobiliary and Pancreatic Surgery,Yantai City Tantai Mountain Hospital,Yantai,Shandong Province,264003 China)

机构地区：[1]烟台市烟台山医院肝胆胰外科,山东烟台264003

出　　处：《系统医学》2024年第4期137-140,共4页Systems Medicine

摘　　要：目的 探讨对胆源性急性胰腺炎患者实施手术治疗后的临床疗效。方法 选取2020年2月—2022年4月烟台市烟台山医院收治的50例胆源性急性胰腺炎患者为研究对象,依据投掷硬币法分为参照组和研究组,各25例。参照组采用普外延期手术方法完成疾病治疗;研究组采用普外早期手术方法完成疾病治疗。比较两组患者的治疗总有效率、临床指标情况以及并发症总发生率。结果 研究组患者治疗总有效率(100.00%)高于参照组(76.00%),差异有统计学意义(χ^(2)=4.734,P<0.05)。研究组患者术后24 h引流量、住院时间、急性生理学和慢性健康状况Ⅱ评分(Acute Physiology And Chronic Health EvaluationsⅡ,APACHEⅡ)均优于参照组,差异有统计学意义(P均<0.05)。研究组并发症总发生率低于参照组,差异有统计学意义(P<0.05)。结论 同普外延期手术方法比较,普外早期手术方法的有效应用,可以提升患者疗效,减少术后24 h引流量,缩短住院时间,降低APACHEⅡ评分,减少并发症的发生,获得的效果显著。Objective To investigate the clinical efficacy of surgical treatment for patients with biliary acute pancreatitis.Methods 50 patients with biliary acute pancreatitis admitted to Yantai City Tantai Mountain Hospital from February 2020 to April 2022 were selected as the study objects and were divided into the reference group and the study group based on the coin tossing method,with 25 cases in each group.In the reference group,treatment was accomplished by generalized deferred surgery,and in the study group,treatment was accomplished by generalized early surgery.The total effective rate of treatment,clinical indexes and the total incidence of complications were compared between the two groups.Results The total effective rate of clinical surgery in the study group(100.00%) was higher than that in the reference group(76.00%),the difference was statistically significant(χ^(2)=4.734,P<0.05).The postoperative 24 h drainage flow,hospitalization time,Acute Physiology And Chronic Health Evaluations Ⅱ(APACHE Ⅱ) score in the study group were better than those in the reference group,the differences were statistically significant(all P<0.05).The total complication rate of the study group was lower than that of the reference group,the difference was statistically significant(P<0.05).Conclusion Compared with the extended surgical method of general surgery,the effective application of the early surgical method of general surgery can improve the efficacy of the patients,reduce the drainage flow in the 24 h postoperative period,shorten the length of hospitalization,reduce the APACHE Ⅱ score,and reduce the number of complications,which is a remarkable effect.

关 键 词：手术治疗 胆源性急性胰腺炎 临床疗效 并发症 

分 类 号：R4[医药卫生—临床医学]