内镜下逆行性胰胆管造影术在老年胰胆疾病治疗中的应用价值

Application value of retrograde endoscopic cholangiopancreatography in the treatment of pancreatic and biliary diseases in the elderly

目的 探讨在老年胰胆疾病患者治疗中运用内镜下逆行性胰胆管造影术对症状表现与预后质量的影响。方法 90例老年胰胆疾病患者,以入院时间分为对照组和观察组,每组45例。对照组实施常规对症治疗,观察组实施内镜下逆行性胰胆管造影术治疗。比较两组治疗效果及生活质量评分。结果 观察组治疗总有效率95.56%高于对照组的80.00%(P<0.05)。观察组社会功能评分(79.14±2.76)分、躯体功能评分(81.18±2.23)分、情绪角色评分(82.60±2.28)分、躯体角色评分(83.50±2.15)分高于对照组的(72.70±6.01)、(74.75±5.04)、(75.11±4.45)、(77.63±4.22)分(P<0.05)。结论 以内镜下逆行性胰胆管造影术治疗老年胰胆疾病患者,利于改善患者临床症状,提升结石清除效果及治疗效果的同时,还能起到提升患者生活质量的作用,可促进患者尽快恢复健康,整体运用效果较佳,值得在基层医院内推广与运用。

Objective To investigate the effect of retrograde endoscopic cholangiopancreatography on symptoms and quality of prognosis in the treatment of elderly patients with pancreatic and biliary diseases.Methods 90 elderly patients with pancreatic and biliary diseases divided into a control group and an observation group according to the time of admission,with 45 cases in each group.The control group received conventional symptomatic treatment,and the observation group received retrograde endoscopic cholangiopancreatography.The therapeutic effects and quality of life score of the two groups were compared.Results The total effective rate of 95.56% in the observation group was higher than that of 80.00% in the control group(P<0.05).The scores of social function,physical function,emotional role and physical role in the observation group were(79.14±2.76),(81.18±2.23),(82.60±2.28) and(83.50±2.15) points,which were higher than those of(72.70±6.01),(74.75±5.04),(75.11±4.45) and(77.63±4.22) points in the control group(P<0.05).Conclusion Retrograde endoscopic cholangiopancreatography is beneficial to the improvement of patients' clinical symptoms,the improvement of stone removal effect and treatment effect,but also plays a role in improving patients' quality of life and promoting patients to recover as soon as possible.The overall application effect is good,and is worthy of promotion and application in primary hospitals.