中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
24期
59-61
,共3页
马应杰%奏宝山%冯军安%姜海波%杨丽
馬應傑%奏寶山%馮軍安%薑海波%楊麗
마응걸%주보산%풍군안%강해파%양려
内镜%干预%急性%胆源性胰腺炎
內鏡%榦預%急性%膽源性胰腺炎
내경%간예%급성%담원성이선염
Endoscopic%Intervention%Acute biliary pancreatitis
目的 探讨早期内镜干预治疗急性胆源性胰腺炎的价值与安全性.方法 将46例早期内镜干预治疗与62例内科保守治疗的临床资料作对照,进行实验室检查、CTSI、APACHEⅡ、腹痛缓解时间、住院天数、并发症发生率及病死率等指标对比分析.结果 内镜组腹痛持续时间及并发症发生率明显低于内科保守治疗组(P＜0.05)；内镜组和对照组病死率、平均住院时间比较差异无统计学意义(P＞0.05).住院第7天两组总胆红素、C反应蛋白、CTSI、APACHEⅡ差异有统计学意义(P＜0.05).结论 早期内镜干预治疗是急性胆源性胰腺炎安全、有效的治疗措施.
目的 探討早期內鏡榦預治療急性膽源性胰腺炎的價值與安全性.方法 將46例早期內鏡榦預治療與62例內科保守治療的臨床資料作對照,進行實驗室檢查、CTSI、APACHEⅡ、腹痛緩解時間、住院天數、併髮癥髮生率及病死率等指標對比分析.結果 內鏡組腹痛持續時間及併髮癥髮生率明顯低于內科保守治療組(P＜0.05)；內鏡組和對照組病死率、平均住院時間比較差異無統計學意義(P＞0.05).住院第7天兩組總膽紅素、C反應蛋白、CTSI、APACHEⅡ差異有統計學意義(P＜0.05).結論 早期內鏡榦預治療是急性膽源性胰腺炎安全、有效的治療措施.
목적 탐토조기내경간예치료급성담원성이선염적개치여안전성.방법 장46례조기내경간예치료여62례내과보수치료적림상자료작대조,진행실험실검사、CTSI、APACHEⅡ、복통완해시간、주원천수、병발증발생솔급병사솔등지표대비분석.결과 내경조복통지속시간급병발증발생솔명현저우내과보수치료조(P＜0.05)；내경조화대조조병사솔、평균주원시간비교차이무통계학의의(P＞0.05).주원제7천량조총담홍소、C반응단백、CTSI、APACHEⅡ차이유통계학의의(P＜0.05).결론 조기내경간예치료시급성담원성이선염안전、유효적치료조시.
Objective To evaluate the value and safety of endscopic intervention in the treatment of acute biliary pancreatitis.Methods Forty - six cases treated with endscopic intervention and 62 cases treated with medical conservative treatment were compared,TBIL,CRP,CTSI,APACHE Ⅱ,pain relief time,hospital stay,incidence of complications and death were analyzed.Results Abdominal pain and complications of endoscopic group were significantly lower than that of the conservative group (P ＜ 0.05 );Death rate,hospitalization was no significant difference (P ＞ 0.05 ) between the two groups.After 7 days,there were significant difference in TBIL,CRP,CTSI and APACJE Ⅱ (P ＜0.05).Conclusions Early endscopic intervention in treatment of acute biliary pancreatitis is safe and effective.
