重症急性胰腺炎早期ICU治疗

Early Treatment of Severe Acute Pancreatitis in ICU

目的探讨重症急性胰腺炎(SAP)早期进入ICU加强治疗效果.方法分析福建医科大学附属龙岩市第一医院2002年1月至2014年12月收治的171例SAP病例资料,随机分为对照组(A组)93例,给予非ICU早期治疗,研究组(B组)78例给予早期ICU治疗,对比非早期ICU治疗组和ICU早期治疗组的住院时间、死亡率的差异.结果与A组比较,B组的总死亡率呈下降趋势(18.3%vs 3.8%,P<0.05),B组的总住院时间平均(16.8±8.2)d,比A组平均(19.3±15.6)d短,P<0.05.结论 ICU早期治疗能有效降低SPA早期死亡率,为后续救治创造条件,后续的救治仍需多科协作.

Objective To explore treatment effect of early treatment of severe acute pancreatitis（SAP） in ICU.Methods 171 cases of SAP patient were selected from Jan 2002 to Dec 2014, and randomly divided into control group（93 cases） and Study group（78 cases）.The control group was given standard treatment,the study group was given early ICU treatment.Then we compared the difference in the hospital stay and death rate of patients between the two groups.Results Early ICU treatment could reduce death rate（18.3% vs 3.8%, P〈0.01） and short hospital stay.Conclusion Early ICU treatment could effectively reduce SPA mortality,create the conditions for the follow- up treatment.