Effect of PRCD combined with APD on prognosis of patients with acute severe pancreatitis
Objective:To analyze ultrasound-guided Percutaneous retroperitoneal drainage(PRCD)combined with Abdominal paracentesis drainage(PRCD).pancreatitis(APD)in patients with Severe acute pancreatitis(SAP).Methods:Clinical data of 92 SAP patients treated and treated in the emergency department of our hospital from March 2021 to September 2022 were retrospectively analyzed,and were divided into control group(PRCD alone,49 cases)and study group(PRCD combined with APD,43 cases)according to different treatment methods.The levels of amylase,White blood cell(WBC)and C reactive protein(CRP)in blood of the two groups were measured by enzyme rate method,blood analyzer method and enzyme-linked immunosorbent assay before and after treatment(48-72 h),respectively.The treatment status,clinical indicators and infection status of the two groups were recorded simultaneously.Results:The levels of amylase,WBC and CRP in the study group were significantly lower than those in the control group(P<0.05).Normal body temperature,antibiotic use and length of stay in Intensive care unit(ICU)in the study group were significantly shorter than those in the control group,and medical expenses were significantly lower than those in the control group(P<0.05).The incidence and mortality of multiple organ failure,acute respiratory distress syndrome and multiple organ dysfunction syndrome in the study group were significantly lower than those in the control group(P<0.05).There was no significant difference in co-infection rate between the study group and the control group(P>0.05).Conclusion:The combination of PRCD and APD under ultrasound guidance can effectively improve the prognosis of SAP patients without increasing the risk of infection.
Ultrasonic guidancePercutaneous retroperitoneal puncture with tube drainagePeritoneal puncture drainageAcute severe pancreatitisPrognosis
NETL
NSTL
万方数据
维普
