综合方案治疗胰腺炎患者的生化体征及CT影像改变分析

Comprehensive Regimen Biochemical Signs of Pancreatitis Patients and CT Imaging in Analysis

目的研究综合方案在胰腺炎患者中的生化体征及CT影像改变情况。方法选取2014年10月-2015年10月医院诊治80例胰腺炎患者资料进行分析,将患者根据随机数字方法分为两组,每组40例。对照组采用常规方法治疗,实验组采用综合方案治疗,比较两组患者治疗前后生化体征及CT影响改变情况。结果实验组缓解时间、血淀粉酶恢复正常时间、尿淀粉酶恢复正常时间、白细胞恢复正常时间以及住院时间,显著短于对照组(P<0.05);两组患者治疗前血淀粉酶、尿淀粉酶及血白细胞生化体征指标差异不显著(P>0.05);实验组治疗后血淀粉酶、尿淀粉酶及血白细胞生化体征指标,显著低于对照组(P<0.05);两组患者治疗前胰头、胰体以及胰尾平扫各部位密度、增强各部位密度差异不显著(P>0.05);实验组患者治疗后胰头、胰体以及胰尾平扫各部位密度差异不显著(P>0.05);实验组治疗后胰头、胰体增强各部位密度,显著高于对照组(P<0.05);实验组治疗后胰尾增强部位密度,显著低于对照组(P<0.05)。结论胰腺炎患者采用综合方案治疗效果理想,能够改善患者生化体征指标,改善患者CT影像情况,值得推广应用。

Objective To study the biochemical signs and CT image change in pancreatitis patients with integrated program. Methods Selected 80 cases with pancreatitis from October 2014 to October 2015 in the hospital, the patients were randomly divided into two groups according to the method, 40 cases in each group. The control group with conventional therapy, The experimental group with integrated treatment regimens, before and after treatment compared biochemical signs and CT affect change. ResultsThe remission time, blood amylase returned to normal, urine amylase returned to normal, white blood cells return to normal time and length of hospital stay was significantly shorter than the control group（P〈0.05）, before treatment, two groups of patients,serum amylase, urine amylase blood cell biochemical signs indexes were no significant differences（P〉0.05）, after treatment, the experimental group serum amylase, urine amylase and biochemical signs of blood leukocyte index was significantly lower than the control group（P〈0.05）, two groups of patients former head of the pancreas, pancreatic body and tail of the pancreas scan various parts of the density and enhance the various parts of the density difference was not significant（P〉0.05）, experimental group patients with pancreatic head, pancreatic body and tail of the pancreas scan various parts of the density difference was not significant（P〉0.05）, the experimental group after treatment of pancreatic, pancreatic body and enhancing the site density was significantly higher（P〈0.05）, the experimental group after treatment enhanced pancreatic tail site density was significantly lower than the control group（P〈0.05）. Conclusion Integrated program used in the patients with pancreatitis can improve symptoms and biochemical indicators,it improve patient CT imaging situation and should be widely applied.