CAJ | 학술논문

目的观察连续静-静脉血液滤过(CVVH)治疗重症急性胰腺炎(SAP)的治疗作用及监护措施.方法将2004年8月至2006年8月15例SPA患者作为对照组,2006年9月至2010年8月20例SPA患者为观察组,对照组采用常规治疗方法,观察组在常规治疗的基础上,采用连续床边血液滤过,观察2组患者治疗前后体温、心率、呼吸、血压及精神症状和腹部体征,监测肝肾功能,并进行APACHEⅡ评分.结果观察组治疗后体温、心率、呼吸、血压、腹部症状、临床指标、APACHE Ⅱ评分与对照组比较差异显著,观察组治疗10 d后多器官功能障碍综合征(MODS)、多器官功能衰竭(MOF)的发生率明显低于对照组.结论采用连续静-静脉血液滤过可早期纠正SAP引起的全身炎性反应,改善全身状况,并能有效防止并发症的发生,正规的技术操作及精心护理能保证CVVH顺利进行,减少CVVH引起的并发症.
목적 관찰련속정-정맥혈액려과(CVVH)치료중증급성이선염(SAP)적치료작용급감호조시.방법 장2004년8월지2006년8월15례SPA환자작위대조조,2006년9월지2010년8월20례SPA환자위관찰조,대조조채용상규치료방법,관찰조재상규치료적기출상,채용련속상변혈액려과,관찰2조환자치료전후체온、심솔、호흡、혈압급정신증상화복부체정,감측간신공능,병진행APACHEⅡ평분.결과 관찰조치료후체온、심솔、호흡、혈압、복부증상、림상지표、APACHE Ⅱ평분여대조조비교차이현저,관찰조치료10 d후다기관공능장애종합정(MODS)、다기관공능쇠갈(MOF)적발생솔명현저우대조조.결론 채용련속정-정맥혈액려과가조기규정SAP인기적전신염성반응,개선전신상황,병능유효방지병발증적발생,정규적기술조작급정심호리능보증CVVH순리진행,감소CVVH인기적병발증.
Objective To observe continuous venous-venous hemofiltration (CVVH) for treatments and cares of severe acute pancreatitis(SAP). Methods From August 2004 to August 2006, 15 cases with SAP were in conventional treatment (the control group), from September 2006 to August 2010, 20 cases with SAP were nursed with CVVH(the observation group). We surveyed patients' vital signs (including body temperature, heart rate, breathing and blood pressure),mental symptoms, abdominal signs and monitored liver and kidney functions. Additionally we executed APACHE Ⅱ scores. We analyzed them retrospectively. Results The afore - mentioned indexes of two groups were significant in statistics, the observation group had lower incidence of MODS、MOF than the control group after 10 days caring. Conclusions The CVVH could correct systemic inflammatory reaction of SAP and prevent complications. Standard technical operation and intensive nursing can ensure smooth process of CVVH and decrease complications caused by CVVH.