50例急性重症胰腺炎临床治疗体会

Experience in Clinical Treatment of 50 Cases of Acute Severe Pancreatitis

目的就急性重症胰腺炎临床治疗体会进行探讨与总结。方法方便选取该院2015年1—12月收治的50例急性重症胰腺炎患者临床资料,分组并分别提供非手术治疗、手术治疗,为其开展高质量临床对症护理,对比两组患者整体治疗有效性。结果实验组患者恶心呕吐缓解平均时长为(3.2±0.3)d,对照组为(5.5±1.7)d,差异有统计学意义(P<0.05);实验组患者尿淀粉酶及血淀粉酶恢复正常等所需平均时长为(5.3±0.5)、(5.2±2.0)d,对照组分别为(7.3±0.6)、(8.3±1.7)d,差异有统计学意义(P<0.05);实验组与对照组代谢性酸中毒发生率分别为2(8.0%)、9(36.0%),差异有统计学意义(P<0.05);另外,两组患者休克发生率分别为1(4.0%)、3(12.0%),差异有统计学意义(P<0.05)。结论手术治疗能够有效缩短患者治疗周期,降低患者痛苦,提升临床治疗有效性。

Objective To explore and summarize the clinical experience in the treatment of severe acute pancreatitis. Methods Convenient selection 50 cases of severe acute pancreatitis patients clinical data were selected and provides non operative treatment and surgical treatment in December 2015 to January 2015. For the clinical efficacy of the two groups of patients were retrospectively analyzed, in statistical complications in patients with remission based analysis and comparison of two groups of patients overall treatment effectiveness. Results Experimental group of nausea and vomiting in patients with remission the average length of （3.2±0.3） d control. Group （5.5±1.7） d, the difference was sfattstically significant,P〈0.05;the experimental group urine amylase and serum amylase returned to normal and the average length of （5.3±0.5）,（5.2±2）d, the control group were （7.3±0.6）, （8.3±1.7） d, ,the difference was sfattstically significantP〈0.05; experimental group and the control rate was 2 （8%） in the toxic group of metabolic acidosis, 9 （36%）, the difference was sfattstically significantP〈0.05. Conclusion Surgical treatment can effectively shorten the patient＇s treatment cycle, reduce the pain of patients, effective-ness of clinical treatment is important, it is worthy of clinical research and application.