中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
21期
22-24
,共3页
危重病的监护与治疗%重症急性胰腺炎%疗效
危重病的鑑護與治療%重癥急性胰腺炎%療效
위중병적감호여치료%중증급성이선염%료효
Intensive care unit(ICU)%Severe acute pancreatitis%Curative effect
目的：探讨ICU治疗重症急性胰腺炎(SAP)的效果。方法选取本院2010年1月~2014年5月收治的109例SAP患者作为研究对象，随机分为对照组(55例)和研究组(54例)。对照组给予常规内科治疗，研究组在对照组的基础上给予ICU综合治疗，比较两组的住院时间、死亡率及并发症发生率、APACHE Ⅱ评分及MODS评分、治疗72 h后各项生化指标。结果研究组的死亡率及并发症发生率显著低于对照组，差异有统计学意义(P<0.05)。研究组治疗后的APACHEⅡ评分及MODS评分均显著低于对照组，差异有统计学意义(P<0.05)。研究组治疗后72 h的BUN、SCr、TBiL、ALT水平显著低于对照组，差异有统计学意义(P<0.05)。结论 ICU综合治疗SAP效果显著，能够有效降低死亡率及并发症发生率，改善患者的预后及生活质量，值得临床推广应用。
目的：探討ICU治療重癥急性胰腺炎(SAP)的效果。方法選取本院2010年1月~2014年5月收治的109例SAP患者作為研究對象，隨機分為對照組(55例)和研究組(54例)。對照組給予常規內科治療，研究組在對照組的基礎上給予ICU綜閤治療，比較兩組的住院時間、死亡率及併髮癥髮生率、APACHE Ⅱ評分及MODS評分、治療72 h後各項生化指標。結果研究組的死亡率及併髮癥髮生率顯著低于對照組，差異有統計學意義(P<0.05)。研究組治療後的APACHEⅡ評分及MODS評分均顯著低于對照組，差異有統計學意義(P<0.05)。研究組治療後72 h的BUN、SCr、TBiL、ALT水平顯著低于對照組，差異有統計學意義(P<0.05)。結論 ICU綜閤治療SAP效果顯著，能夠有效降低死亡率及併髮癥髮生率，改善患者的預後及生活質量，值得臨床推廣應用。
목적：탐토ICU치료중증급성이선염(SAP)적효과。방법선취본원2010년1월~2014년5월수치적109례SAP환자작위연구대상，수궤분위대조조(55례)화연구조(54례)。대조조급여상규내과치료，연구조재대조조적기출상급여ICU종합치료，비교량조적주원시간、사망솔급병발증발생솔、APACHE Ⅱ평분급MODS평분、치료72 h후각항생화지표。결과연구조적사망솔급병발증발생솔현저저우대조조，차이유통계학의의(P<0.05)。연구조치료후적APACHEⅡ평분급MODS평분균현저저우대조조，차이유통계학의의(P<0.05)。연구조치료후72 h적BUN、SCr、TBiL、ALT수평현저저우대조조，차이유통계학의의(P<0.05)。결론 ICU종합치료SAP효과현저，능구유효강저사망솔급병발증발생솔，개선환자적예후급생활질량，치득림상추엄응용。
Objective To explore the effect of ICU in the treatment of severe acute pancreatitis. Methods 109 cases with severe acute pancreatitis from January 2010 to May 2014 in our hospital were selected and randomly divided into the control group (55 cases) and the study group (54 cases).The control group was given conventional internal medicine treatment,the study group was given ICU treatment on the basis of the control group.The hospital stay,mortality and in-cidence of complication,APACHE IIscore and MODS score,biochemical indexes of 72 hours after treatment in two groups was compared. Results The mortality rate and the incidence rate of complication in the study group was lower than that in the control group,with significant difference(P<0.05).The score of APACHE IIMODS in the study group af-ter treatment was lower than that in the control group,with significant difference (P<0.05).The level of BUN,SCr,TBiL, ALT in the study group after treatment at 72 hours was lower than that in the control group,with significant difference (P<0.05). Conclusion The effect of ICU in the treatment of severe acute pancreatitis is significant,which can effectively reduce the mortality rate and incidence rate of complication,improve the prognosis quality of life of the patients,it is worthy of clinical promotion and application.
