医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2013年
9期
40-42
,共3页
张旭%杨小艳%钟玉全%田成%林廷辉%张方宇%张凤%薛小芳
張旭%楊小豔%鐘玉全%田成%林廷輝%張方宇%張鳳%薛小芳
장욱%양소염%종옥전%전성%림정휘%장방우%장봉%설소방
急性重症胰腺炎%连续性血液净化%早期
急性重癥胰腺炎%連續性血液淨化%早期
급성중증이선염%련속성혈액정화%조기
severe acute pancreatitis (SAP)%continuous blood purification treatment (CBP)%early intervention therapy
目的：探讨早期连续性血液净化（CBP）对急性重症胰腺炎（SAP）临床疗效。方法：45例SAP患者随机分为治疗组（22例）和对照组（23例），两组均给予常规治疗，治疗组在常规治疗的基础上应用CBP早期干预。观察患者急性呼吸窘迫综合症持续时间、肠麻痹持续时间、肾功能恢复时间、低血钙持续时间、血淀粉酶恢复正常时间和住院日。结果：治疗组在急性呼吸窘迫综合症持续时间、肾功能恢复时间、低血钙持续时间、血淀粉酶恢复正常时间及住院日与对照组有统计学意义。治疗组有效率为90．91％，对照组治愈率为78．26％，两组有效率在差异有统计学意义（p＜0．05）。结论：本研究发现CBP治疗SAP对改善肾功能、缩短急性呼吸窘迫综合症持续时间、肠麻痹持续时间，改善预后、缩短住院时间、快速稳定内环境、减轻炎症反应有一定作用。
目的：探討早期連續性血液淨化（CBP）對急性重癥胰腺炎（SAP）臨床療效。方法：45例SAP患者隨機分為治療組（22例）和對照組（23例），兩組均給予常規治療，治療組在常規治療的基礎上應用CBP早期榦預。觀察患者急性呼吸窘迫綜閤癥持續時間、腸痳痺持續時間、腎功能恢複時間、低血鈣持續時間、血澱粉酶恢複正常時間和住院日。結果：治療組在急性呼吸窘迫綜閤癥持續時間、腎功能恢複時間、低血鈣持續時間、血澱粉酶恢複正常時間及住院日與對照組有統計學意義。治療組有效率為90．91％，對照組治愈率為78．26％，兩組有效率在差異有統計學意義（p＜0．05）。結論：本研究髮現CBP治療SAP對改善腎功能、縮短急性呼吸窘迫綜閤癥持續時間、腸痳痺持續時間，改善預後、縮短住院時間、快速穩定內環境、減輕炎癥反應有一定作用。
목적：탐토조기련속성혈액정화（CBP）대급성중증이선염（SAP）림상료효。방법：45례SAP환자수궤분위치료조（22례）화대조조（23례），량조균급여상규치료，치료조재상규치료적기출상응용CBP조기간예。관찰환자급성호흡군박종합증지속시간、장마비지속시간、신공능회복시간、저혈개지속시간、혈정분매회복정상시간화주원일。결과：치료조재급성호흡군박종합증지속시간、신공능회복시간、저혈개지속시간、혈정분매회복정상시간급주원일여대조조유통계학의의。치료조유효솔위90．91％，대조조치유솔위78．26％，량조유효솔재차이유통계학의의（p＜0．05）。결론：본연구발현CBP치료SAP대개선신공능、축단급성호흡군박종합증지속시간、장마비지속시간，개선예후、축단주원시간、쾌속은정내배경、감경염증반응유일정작용。
Objective :To investigate clinical efficacy early intervention therapy for severe acute pancreatitis (SAP) by continuous blood purification treatment (CBP) .Methods:45 cases of SAP patients were randomly divided into treatment group (22 cases) and control group (23 cases) ,both groups were given conventional therapy ,the treatment group on the basis of conventional treatment application of CBP early intervention .To observe duration of in patients with acute respiratory distress syndrome (ARDS) ,duration of intestinal paralysis ,renal function recovery time ,low blood calcium recovery time ,Recovery time of serum amylase and the hospital stay .Results:Compared with the control group ,the treatment group in the duration of acute respiratory distress syndrome ,kidney function recovery time and low blood calcium ,blood amylase returned to normal time and the hospital stay was statistically significant .Treatment group effective rate was 90 .91% ,control group cure rate was 78 .26% ,the difference was significant (p < 0 . 05) .Conclusion :This study found that CBP treatment of SAP to improve the kidney function ,shorten the duration of acute respiratory distress syn-drome ,duration of intestinal paralysis ,improve prognosis ,shorten hospitalization time ,fast ,stable internal environment ,reduce inflammation reactions have certain effect .
