重症急性胰腺炎患者液体治疗分析

Analysis of fluid therapy in patients with severe acute pancreatitis

目的:分析重症急性胰腺炎患者液体治疗的效果。方法:收治重症急性胰腺炎患者80例,分为参照组和试验组,参照组给予单纯性液体复苏治疗,试验组给予限制性液体复苏治疗,对比两组的临床治疗效果。结果:试验组的急性肾损伤发生率、连续肾脏替代疗法使用率、AKI持续时间、肌酐峰值均明显优于参照组(P<0.05)。结论:采取限制性液体复苏治疗重症急性胰腺炎患者能够降低并发症以及急性肾损伤的发生率。

Objective:To analyze the effect of fluid therapy in patients with severe acute pancreatitis.Methods:80 patients with severe acute pancreatitis were selected.They were divided into the control group and the experimental group.The control group was given simple fluid resuscitation treatment.The experimental group was given limited fluid resuscitation treatment.The clinical treatment effects were compared between two groups.Results:The incidence rate of acute kidney injury,unilization rate ofcontinuous renal replacement therapy,AKI duration time,creatinine peak in the experimental group were significantly better than those of the control group(P<0.05).Conclusion:Limiting fluid resuscitation in the treatment of patients with severe acute pancreatitis can reduce the incidence rate of complications and acute kidney injury.