齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
Journal of Qiqihar University of Medicine
2015年
30期
4586-4588
,共3页
经脐进入腹腔%腹腔灌洗%重症急性胰腺炎
經臍進入腹腔%腹腔灌洗%重癥急性胰腺炎
경제진입복강%복강관세%중증급성이선염
Umbilical path into abdominal cavity%Abdominal irrigation%Severe acute pancreatitis
目的 观察经脐进入腹腔简易腹腔灌洗法对重症急性胰腺炎( SAP )的临床疗效. 方法 选择在本院2010年6月至2014年12月收治的SAP 79例,患者随机分成观察组(40例)和对照组(39例). 观察组患者在常规治疗基础上,入院24 h内实施经脐进入腹腔灌洗治疗,对照组患者采用常规治疗,并比较分析两组的疗效. 结果 观察组患者入院第3天出现肠蠕动,第6天肠蠕动恢复正常;对照组患者入院第6天出现肠蠕动(P<0.05),第12 天肠蠕动恢复正常(P<0.05). 观察组入院第3~12 天APACHEⅡ评分显著优于对照组( P<0.05). 观察组的腹痛缓解时间、腹痛压痛缓解时间、血淀粉酶恢复时间、白细胞恢复时间明显少许对照组. 观察组治愈36例(90%),好转3例(7.5%),死亡1例(2.5%),平均住院(12.98 ±4.78)d;对照组治愈20例(51.28%),好转13例(33.33%),死亡6例(15.39%),平均住院(28.35 ±8.67)d. 两组治愈率、好转率及死亡率差异有统计学意义(P<0.05). 结论 经脐进入腹腔简易腹腔灌洗法治疗重症急性胰腺炎简易、有效,值得推广.
目的 觀察經臍進入腹腔簡易腹腔灌洗法對重癥急性胰腺炎( SAP )的臨床療效. 方法 選擇在本院2010年6月至2014年12月收治的SAP 79例,患者隨機分成觀察組(40例)和對照組(39例). 觀察組患者在常規治療基礎上,入院24 h內實施經臍進入腹腔灌洗治療,對照組患者採用常規治療,併比較分析兩組的療效. 結果 觀察組患者入院第3天齣現腸蠕動,第6天腸蠕動恢複正常;對照組患者入院第6天齣現腸蠕動(P<0.05),第12 天腸蠕動恢複正常(P<0.05). 觀察組入院第3~12 天APACHEⅡ評分顯著優于對照組( P<0.05). 觀察組的腹痛緩解時間、腹痛壓痛緩解時間、血澱粉酶恢複時間、白細胞恢複時間明顯少許對照組. 觀察組治愈36例(90%),好轉3例(7.5%),死亡1例(2.5%),平均住院(12.98 ±4.78)d;對照組治愈20例(51.28%),好轉13例(33.33%),死亡6例(15.39%),平均住院(28.35 ±8.67)d. 兩組治愈率、好轉率及死亡率差異有統計學意義(P<0.05). 結論 經臍進入腹腔簡易腹腔灌洗法治療重癥急性胰腺炎簡易、有效,值得推廣.
목적 관찰경제진입복강간역복강관세법대중증급성이선염( SAP )적림상료효. 방법 선택재본원2010년6월지2014년12월수치적SAP 79례,환자수궤분성관찰조(40례)화대조조(39례). 관찰조환자재상규치료기출상,입원24 h내실시경제진입복강관세치료,대조조환자채용상규치료,병비교분석량조적료효. 결과 관찰조환자입원제3천출현장연동,제6천장연동회복정상;대조조환자입원제6천출현장연동(P<0.05),제12 천장연동회복정상(P<0.05). 관찰조입원제3~12 천APACHEⅡ평분현저우우대조조( P<0.05). 관찰조적복통완해시간、복통압통완해시간、혈정분매회복시간、백세포회복시간명현소허대조조. 관찰조치유36례(90%),호전3례(7.5%),사망1례(2.5%),평균주원(12.98 ±4.78)d;대조조치유20례(51.28%),호전13례(33.33%),사망6례(15.39%),평균주원(28.35 ±8.67)d. 량조치유솔、호전솔급사망솔차이유통계학의의(P<0.05). 결론 경제진입복강간역복강관세법치료중증급성이선염간역、유효,치득추엄.
Objective To evaluate efficacy of simple abdominal irrigation in treatment of early stage of severe acute pancreatitis( SAP) .Methods The patients with SAP were randomly divided into therapeutic group ( n=40) and control group ( n =39 ) .Therapeutic group accepted Simple abdominal irrigation in 24 hours of admission after conventional treatments, and the control group received conventional treatments only.Results Intestinal peristalsis appeared on the three day and intestinal function restored on the six day of hospitalization in therapeutic group patients.In contrast, intestinal peristalsis occurred on the six day of hospitalization and appeared normal on the twelve day of hospitalization in control group patients(P<0.05).APACHE II scores from three day to twelve day of therapeutic group patients were significantly better than that of control group patients( P<0.05).The abdominal pain relief time, abdominal tenderness relief time, blood amylase restoration time, white blood cell recovery time all shorter than that of the control group(P<0.05).The cure rate, improvement rate, mortality rate and the mean hospitalization time were 90%, 7.5%, 2.50% and 12.98 ±4.78 days in therapeutic group patients.These variables in control group patients were 51.28%, 33.33%, 15.39%and 28. 35 ±8.67 days.There were significant differences in cure rate, improvement rate and mortality rate between the two groups ( P <0.05 ).Conclusions Simple abdominal irrigation can be used to suck out inflammatory secretions from abdominal cavity.The simple abdominal irrigation for treatment of severe acute pancreatitis is efficacy and safe.It is worthy to be popularized.
