急性重症胰腺炎首次排便时间与预后的相关性分析

Discussion on correlation between the SPA's first defecation time and prognosis

目的:观察急性重症胰腺炎(SAP)患者首次排便时间与预后的关系。方法:将30例SAP患者,根据首次排出大便的时间分为3天排便组、5天排便组、7天排便组,观察3组患者腹痛缓解、血淀粉酶恢复、重要生化指标恢复、住院天数、治愈率之间的差异。结果:腹痛缓解、重要生化指标恢复、住院天数3组间比较P<0.05;3天、5天、7天排便组治愈率分别为100%、88.9%、66.7%。结论:SAP患者首次排便时间短,治疗效果好、预后佳,反之则不然。SAP患者首次排便时间可以作为判断病情预后的指标。

Objective ：To observe the relationship between the sovere acute pancreatitis（SPA） cases first defecation time and the disease prognosis. Methods：Based on the first defecation time,30 SPA cases were divided into 3 groups,namely 3 days group,5 days group and 7 days group,observing the 3 group cases differences in the abdominal pain remission,the retrieval of blood amylase level,the retrieval of important biochemical indexes,the hospital days and the cure rate.Results：There were statistical significances among the abdominal pain remission,the retrieval of important biochemical indexes and the hospital days （P〈0.05）; the 3 days group＇s cure rate was 100%,the 5 days group＇s was 88.9%, the 7 days group＇s was 66.7%.Conclusion：If the SPA cases have short first defecation time,they often have well treatment effect and favorable prognosis,the converse is not true. The first defecation time can be used as a index to judge the disease prognosis.