急性重症胰腺炎的诊断与治疗

Diagnosis and Treatment of Severe Acute Pancreatitis

目的研究该院急性重症胰腺炎的诊断和治疗方法。方法整群选取该院消化科2014年3月—2015年11月收治患急性重症胰腺炎患者76例作为研究对象,根据电脑随机分为A组和B组,每组38例。A组患者给予手术治疗,B组给予非手术治疗,包括禁食、补液、解痉、抑酸酶、抗感染及休克等治疗。对比两组治疗后治愈率、死亡率、并发症发生率、住院时间。结果 A组接受手术治疗后有效率为81.58%、死亡率为10.53%、并发症发生率为13.16%、住院时间为(92.7±53.2)d均优于B组[(65.79%、23.68%、26.32%、(132.5±87.3)d],两组组间差异有统计学意义(P<0.05)。结论研究显示急性重症胰腺炎应需及时进行手术治疗,帮助患者恢复健康。

Objective To research the diagnosis and treatment method of severe acute pancreatitis in our hospital.Methods76 cases of patients with severe acute pancreatitis admitted and treated in the digestive department of our hospital from March 2014 to November 2015 were selected as the research objects and randomly divided into two groups with 38 cases in each,the group A were treated with operation,the group B were treated with non-operation,including fasting,fluid infusion,spasmolysis,acid suppression enzyme,anti-infection and shock treatment,and the cure rate,death rate,incidence rate of complications and length of stay were compared between the two groups.Results The cure rate,death rate,incidence rate of complications and length of stay in the group A after operative treatment were better than those in the group B,[81.58%,10.53%,13.16%,（92.7±53.2） d vs 65.79%,23.68%,26.32%,（132.5±87.3） d],and the differences between the two groups had statistical significance（P〈0.05）.Conclusion The research shows that the severe acute pancreatitis needs to be treated with operation in time in order to help patients recover health.