检验医学与临床
檢驗醫學與臨床
검험의학여림상
JOURNAL OF LABORATORY MEDICINE AND CLINICAL SCIENCES
2015年
9期
1251-1252,1255
,共3页
急诊内镜治疗%老年患者%急性梗阻性化脓性胆管炎%疗效
急診內鏡治療%老年患者%急性梗阻性化膿性膽管炎%療效
급진내경치료%노년환자%급성경조성화농성담관염%료효
emergency endoscopic treatment%elderly patients%acute obstructive suppurative cholangitis%curative effect
目的：探讨急诊内镜治疗在老年急性梗阻性化脓性胆管炎（AOSC）患者中的疗效。方法选择符合标准的73例老年患者，将其分成两组，观察组37例，采用急诊内镜治疗；对照组36例，采用急诊开腹手术治疗。比较两组患者总体疗效情况、治疗前后相关生化指标改善情况及术后并发症发生情况。结果治疗后观察组患者腹痛缓解与胃肠功能恢复时间分别为（3．2±1．3）h和（4．8±1．7）h，显著低于对照组的（5．4±1．6）h和（6．4±2．0）h，差异有统计学意义（P＜0．05）。治疗后观察组患者白细胞、丙氨酸氨基转移酶及总胆红素水平均显著低于对照组，差异有统计学意义（ P＜0．05）。观察组术后感染与并发症总发生率分别为2．7％和16．2％，显著低于对照组的16．7％和36．1％，差异有统计学意义（P＜0．05）。结论急诊内镜治疗对于老年AOSC患者而言，安全有效，操作简单，并发症少，存活率与生活治疗均提高，值得临床进一步推广。
目的：探討急診內鏡治療在老年急性梗阻性化膿性膽管炎（AOSC）患者中的療效。方法選擇符閤標準的73例老年患者，將其分成兩組，觀察組37例，採用急診內鏡治療；對照組36例，採用急診開腹手術治療。比較兩組患者總體療效情況、治療前後相關生化指標改善情況及術後併髮癥髮生情況。結果治療後觀察組患者腹痛緩解與胃腸功能恢複時間分彆為（3．2±1．3）h和（4．8±1．7）h，顯著低于對照組的（5．4±1．6）h和（6．4±2．0）h，差異有統計學意義（P＜0．05）。治療後觀察組患者白細胞、丙氨痠氨基轉移酶及總膽紅素水平均顯著低于對照組，差異有統計學意義（ P＜0．05）。觀察組術後感染與併髮癥總髮生率分彆為2．7％和16．2％，顯著低于對照組的16．7％和36．1％，差異有統計學意義（P＜0．05）。結論急診內鏡治療對于老年AOSC患者而言，安全有效，操作簡單，併髮癥少，存活率與生活治療均提高，值得臨床進一步推廣。
목적：탐토급진내경치료재노년급성경조성화농성담관염（AOSC）환자중적료효。방법선택부합표준적73례노년환자，장기분성량조，관찰조37례，채용급진내경치료；대조조36례，채용급진개복수술치료。비교량조환자총체료효정황、치료전후상관생화지표개선정황급술후병발증발생정황。결과치료후관찰조환자복통완해여위장공능회복시간분별위（3．2±1．3）h화（4．8±1．7）h，현저저우대조조적（5．4±1．6）h화（6．4±2．0）h，차이유통계학의의（P＜0．05）。치료후관찰조환자백세포、병안산안기전이매급총담홍소수평균현저저우대조조，차이유통계학의의（ P＜0．05）。관찰조술후감염여병발증총발생솔분별위2．7％화16．2％，현저저우대조조적16．7％화36．1％，차이유통계학의의（P＜0．05）。결론급진내경치료대우노년AOSC환자이언，안전유효，조작간단，병발증소，존활솔여생활치료균제고，치득림상진일보추엄。
Objective To investigate the effect of emergency endoscopic treatment in elderly patients with a‐cute obstructive suppurative cholangitis(AOSC) .Methods 73 patients with AOSC were chosen and divided into two groups .The observation group (37 cases) was treated with emergency endoscopic treatment ,while the control group (36 cases) was treated with emergency laparotomy .The curative effect ,change of biochemical indicators and compli‐cations were compared between the two groups .Results The abdominal pain relief time and gastrointestinal function recovery time in the observation group were (3 .2 ± 1 .3) h and (4 .8 ± 1 .7) h ,which were significantly lower than (5 .4 ± 1 .6) h and (6 .4 ± 2 .0) h in the control group ,the differences were statistically significant(P<0 .05) .The levels of WBC ,ALT and TBil after treatment in the observation group were significantly lower than those in the con‐trol group with statistical difference (P<0 .05) .The total occurrence rates of postoperative infection and complica‐tions in the observation group were 2 .7% and 16 .2% respectively ,which were significantly lower than 16 .7% and 36 .1% in the control group ,the differences were statistically significant (P<0 .05) .Conclusion The emergency en‐doscopic treatment in AOSC is safe ,effective ,simple to operate ,has less complications ,can improve the survival rate and living quality and is worthy of promotion in clinic .
