中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
29期
163-165
,共3页
重症急性胰腺炎%血液滤过%血液灌流%疗效
重癥急性胰腺炎%血液濾過%血液灌流%療效
중증급성이선염%혈액려과%혈액관류%료효
Severe acute pancreatitis%Hemofiltration%Blood perfusion%Efficacy
目的：探讨血液滤过及血液灌流联合治疗急性重症胰腺炎的临床及护理效果。方法整群选取该院2012年4月—2013年6月收治的SAP患者72例，随机分为观察组及对照组，均给予常规治疗及血液滤过治疗，而观察组患者再给予血液灌流治疗，两组患者在治疗期间均给予相同的，具有针对性的护理。治疗后观察两组患者的治疗效果。结果治疗前两组患者CRP，SOD及MDA水平相比较，差异无统计学意义（P＞0.05），治疗后两组患者的CRP，SOD及MDA水平都有所改善，但是观察组的改善情况与对照组相比较明显，差异有统计学意义（P＜0.05）。观察组腹胀缓解时间，腹痛缓解时间，排气时间及住院时间均短于对照组，差异有统计学意义（P＜0.05）。观察组治疗总有效率显著性高于对照组（P＜0.05）。结论血液滤过及血液灌流联合治疗急性重症胰腺炎的临床效果显著，值得在临床治疗中广泛地推广及应用。
目的：探討血液濾過及血液灌流聯閤治療急性重癥胰腺炎的臨床及護理效果。方法整群選取該院2012年4月—2013年6月收治的SAP患者72例，隨機分為觀察組及對照組，均給予常規治療及血液濾過治療，而觀察組患者再給予血液灌流治療，兩組患者在治療期間均給予相同的，具有針對性的護理。治療後觀察兩組患者的治療效果。結果治療前兩組患者CRP，SOD及MDA水平相比較，差異無統計學意義（P＞0.05），治療後兩組患者的CRP，SOD及MDA水平都有所改善，但是觀察組的改善情況與對照組相比較明顯，差異有統計學意義（P＜0.05）。觀察組腹脹緩解時間，腹痛緩解時間，排氣時間及住院時間均短于對照組，差異有統計學意義（P＜0.05）。觀察組治療總有效率顯著性高于對照組（P＜0.05）。結論血液濾過及血液灌流聯閤治療急性重癥胰腺炎的臨床效果顯著，值得在臨床治療中廣汎地推廣及應用。
목적：탐토혈액려과급혈액관류연합치료급성중증이선염적림상급호리효과。방법정군선취해원2012년4월—2013년6월수치적SAP환자72례，수궤분위관찰조급대조조，균급여상규치료급혈액려과치료，이관찰조환자재급여혈액관류치료，량조환자재치료기간균급여상동적，구유침대성적호리。치료후관찰량조환자적치료효과。결과치료전량조환자CRP，SOD급MDA수평상비교，차이무통계학의의（P＞0.05），치료후량조환자적CRP，SOD급MDA수평도유소개선，단시관찰조적개선정황여대조조상비교명현，차이유통계학의의（P＜0.05）。관찰조복창완해시간，복통완해시간，배기시간급주원시간균단우대조조，차이유통계학의의（P＜0.05）。관찰조치료총유효솔현저성고우대조조（P＜0.05）。결론혈액려과급혈액관류연합치료급성중증이선염적림상효과현저，치득재림상치료중엄범지추엄급응용。
Objective To investigate the effect of clinical and nursing on patients with severe acute pancreatitis(SAP) treat-ed by hemofiltration and blood perfusion. Methods 72 patients with SAP admitted in our hospital from April 2012 to June 2013 were randomly selected and divided into the observation group and the control group. Both groups were treated by conventional treatment and hemofiltration, the patients in the observation group were additionally given blood perfusion. Both groups were given the same targeted nursing during treatment. And the treatment effect of the two groups was observed after treatment. Results Before treatment, the differences in the levels of CRP, SOD and MDA between the two groups were statistically significant (P>0.05). After treatment, the levels of CRP, SOD and MDA improved in both groups, but the im-provement of the levels of CRP, SOD and MDA was more significant in the observation group (P<0.05). The abdominal dis-tension relief time, abdominal pain relief time, evacuation time and length of stay was shorter in the observation group than that in the control group, respectively with statistically significant difference (P<0.05). The overall response rate was signifi-cantly higher in the observation group than that in the control group (P<0.05). Conclusion For severe acute pancreatitis, hemofiltration and blood perfusion have significant clinical effect, which are worthy of extensive application and promotion in clinical treatment.
