老年急性胰腺炎的诊断治疗临床观察

The Diagnosis and Treatment of Acute Pancreatitis Clinical Observation of the Elderly

目的探讨分析老年急性胰腺炎的诊断及治疗效果。方法随机选取2014年1月—2015年7月间,佛山市第一人民医院接诊并收治的急性胰腺炎患者120例,根据患者年龄分为观察组和对照组,观察组患者年龄大于等于60岁,对照组患者年龄小于60岁,根据临床和随访资料,对该病的诊断及治疗效果进行回顾性分析。结果经观察比较,两组患者的病死率、年龄和疾病严重程度有明显差异,具有统计学意义(P<0.05),且病死率与患者的年龄和疾病严重程度有明显的相关性;两组在手术例数和并发症出现例数比较有明显差异,对照组少于观察组,有统计学意义(P<0.05)。两组患者平均血清淀粉酶及血清总胆红素,比较有明显差异,观察组升高明显高于对照组,有统计学意义(P<0.05)。结论老年急性胰腺炎严重影响人们的生活质量及生命健康,加强对该病的研究和分析,有助于提高疗效,改善预后。

Objective To investigate the analysis and diagnosis and treatment of elderly patients with acute pancreatitis.Method Randomly selected in January 2014 -between July 2015 , admitted to our hospital admissions and 120 patients with acute pancreatitis, divided according to age groups and the control group, patients aged greater than or equal to 60 years in the observation group and control group patients younger than 60 years old, based on clinical and follow-up information on the diagnosis and treatment of the disease were retrospectively analyzed.Results The After observation, case fatality rate, age, and two groups of patients have obvious differences and the severity of disease, was statistically significant ( P <0.05 ) , and the case fatality rate and the patient's age and disease severity have significant correlation;Two groups of cases and the surgery complications were more obvious difference, the control is less than the observation group, with statistical significance ( P<0.05 ) .Conclusions Elderly patients with acute pancreatitis seriously affect the quality of life and life and health, strengthen research and analysis of the disease, help to improve the efficacy and improve prognosis.