腹腔穿刺置管引流在重症胰腺炎中的应用

Application of Abdominal Puncture and Catheter Drainage in Severe Acute Pancreatitis

目的探讨腹腔穿刺置管引流术在重症胰腺炎的临床应用价值。方法研究对象为2002年5月—2013年5月该院收治的接受腹腔穿刺或手术治疗的重症胰腺炎患者共58例,其中34例接受腹腔穿刺置管引流术者(设为观察组)和24例接受传统手术治疗者(设为对照组),比较分析两组治疗效果。结果观察组症状消失时间及住院天数均显著短于对照组(t=-4.082及-10.194,P<0.05);且观察组继发腹腔感染发生率及死亡率均显著低于对照组(χ2=11.225及6.971,P<0.05);观察组救治无效死亡1例(2.9%),对照组死亡4例(16.7%),观察组死亡率显著低于对照组(χ2=6.971,P<0.05)。结论腹腔穿刺置管引流术能显著提高重症急性胰腺炎患者的治疗效果,明显降低继发腹腔感染等并发症发生率及病死率,具有较好的临床应用价值。

Objective To investigate the clinical value of abdominal puncture and catheter drainage in severe acute pancreatitis.Methods 58 patients with severe acute pancreatitis who underwent abdominal puncture or traditional operation in our hospital from May 2002 to May 2013 were selected as the research object, 34 of whom received abdominal puncture and catheter drainage were assigned to the observation group, while 24 of whom underwent traditional operation were assigned to the control group. The therapeutic effects of the two group were compared. Results In the observation group, the symptom disappearance time and hospital stay were significantly shorter than that in control group（t =4.082, 10.194, P〈0.05）; and the secondary abdominal infection rate and mortality in the observation group were significantly lower than those in control group（χ^2=11.225, 6.971,P〈0.05）; 1 case of death occurred in the observation（2.9%）, while 4 cases in the control group（16.7%）, and the mortality rate was significantly lower in the observation group than in the control group（χ^2=-6.971,P〈0.05）. Conclusion For patients with severe acute pancreatitis, abdominal puncture and catheter drainage has better clinical value because it can significantly improve the therapeutic effect by reducing the complications such as secondary abdominal infection and the mortality.can significantly improve the therapeutic effect for patients with severe acute pancreatitis, significantly reduce the secondary intra-abdominal infection complication rate and mortality rate,and has better clinical application value.