重症胰腺炎消化内科的临床治疗效果探究

Clinical treatment of severe pancreatitis in gastroenterology

目的探讨重症胰腺炎消化内科的临床治疗效果。方法选取2017年4月至2019年5月本院收治的64例重症胰腺炎患者,采用红紫双色球法分为两组,各32例。对照组采用常规治疗,观察组在对照组基础上采用消化内科综合治疗,比较两组患者治疗前后临床指标变化情况、治疗效果、住院时间和住院费用。结果治疗前,观察组患者白细胞(WBC)、血淀粉酶(AMS)、C反应蛋白(CRP)与对照组比较差异无统计学意义;治疗后,观察组患者WBC为(8.64±2.29)×10^9/L、CRP为(8.62±3.74)mg/L、AMS为(200.15±31.47)U/L,低于对照组的(11.06±2.38)×10^9/L、(19.64±5.57)mg/L、(263.64±30.69)U/L(P<0.05);观察组总有效率为87.50%,高于对照组的65.63%(P<0.05);观察组住院时间为(14.29±1.48)d,短于对照组的(18.25±1.73)d,住院费用为(3.03±0.96)万元,少于对照组的(4.16±1.13)万元(P<0.05)。结论消化内科综合治疗能够有效促进重症胰腺炎患者体征指标恢复,缩短患者住院时间,疗效显著,经济性良好。

Objective To explore the clinical effect of digestive medicine in severe pancreatitis.Methods 64 patients with severe pancreatitis in our hospital were divided into two groups,with 32 cases in each group.The control group was treated with routine therapy.The observation group was treated with comprehensive therapy of digestive medicine on the basis of the control group.The changes of clinical indexes,therapeutic effect,length of stay and hospitalization costs were compared between the two groups before and after treatment.Results There was no significant difference in WBC,AMS and CRP between the observation group and the control group before treatment.After treatment,WBC,CRP and AMS were(8.64±2.29)×10^9/L,(8.62±3.74)mg/L and(200.15±31.47)U/L in the observation group were lower than those in the control group[(11.06±2.38)×10^9/L,(19.64±5.57)mg/L,(263.64±30.69)U/L](P<0.05).The total effective rate of the observation group(87.50%)was higher than that of the control group(65.63%)(P<0.05).The hospitalization time of the observation group(14.29±1.48)d was shorter than that of the control group(18.25±1.73)d,and the hospitalization costs(3.03±0.96)ten thousand yuan was lower than that of the control group(4.16±1.13)ten thousand yuan(P<0.05).Conclusion The comprehensive treatment of Gastroenterology can effectively promote the recovery of physical signs and indexes of patients with severe pancreatitis,shorten the length of stay of patients,with significant effect and good economy.