选择性动脉介入治疗老年重症急性胰腺炎的临床研究

Clinical study of selective arterial interventional therapy for severe acute pancreatitis in aged patients

目的观察选择性动脉介入治疗老年重症急性胰腺的临床疗效。方法选取27例行介入治疗的重症急性胰腺炎老年患者为治疗组,同期23例未行介入治疗的重症急性胰腺炎老年患者为对照组。比较接受2种治疗方法的临床效果。结果治疗组症状、体征及辅助检查等恢复正常时间及住院时间均短于对照组,并发症发生率与病死率低于对照组,差异均有统计学意义(P<0.05和P<0.01)。结论选择性动脉介入治疗能有效地提高抢救成功率,减少并发症,从而降低病死率,缩短住院时间。

Objective To observe the effect of selective artery interventional therapy on senile severe acute pancreatitis（SAP）.Methods 50 cases of aged patients with SAP were divided into two groups.One was treatment group including 27 cases with intervention therapy,the other was control group including 23 cases without intervention therapy.The clinical outcomes between two groups were compared.Results The symptoms,signs and laboratory examinations returned to normal time and hospital stay time was shorter than control group,the complaction rate and moratality rate were lower than control group,the differences were statistically significant（P0.05 and P0.01）.Conclusion The selective artery interventional therapy in SAP is more effective,can reduce the mortality and length of hospital stay time of patients with SAP.