首页|乌司他丁在急性胰腺炎患者中的应用效果及对血清细胞凋亡指标表达的影响

乌司他丁在急性胰腺炎患者中的应用效果及对血清细胞凋亡指标表达的影响

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目的:探究乌司他丁在急性胰腺炎患者中的应用效果及对血清细胞凋亡指标表达的影响.方法:将 2020 年 11 月—2023 年 2 月苏州市相城人民医院的 80 例急性胰腺炎患者根据随机数字表法分为两组,各 40 例.对照组进行常规急性胰腺炎治疗,观察组则在常规治疗的基础上加用乌司他丁.比较两组的急性胰腺炎治疗总有效率、治疗前后的症状体征积分、生化指标(淀粉酶及脂肪酶)及血清细胞凋亡指标[半胱氨酸蛋白酶-3(Caspase-3)、可溶性凋亡相关因子(sFas)及可溶性凋亡相关因子配体(sFasL)].结果:观察组的急性胰腺炎治疗总有效率显著高于对照组,差异有统计学意义(P<0.05);治疗前两组的症状体征积分、生化指标及血清细胞凋亡指标比较,差异均无统计学意义(P>0.05),治疗1 周及 2 周后两组的症状体征积分、生化指标及血清细胞凋亡指标均显著低于治疗前,且观察组的上述积分、生化及血清细胞凋亡指标均显著低于对照组,差异均有统计学意义(P<0.05).结论:乌司他丁在急性胰腺炎患者中的应用效果较好,且可显著改善患者血清细胞凋亡指标的表达.
Application Effect of Ulinastatin in the Treatment of Patients with Acute Pancreatitis and Influence on the Expression of Serum Apoptosis Indexes
Objective:To investigate the application effect of Ulinastatin in the treatment of patients with acute pancreatitis and influence on the expression of serum apoptosis indexes.Method:A total of 80 patients with acute pancreatitis in Xiangcheng People's Hospital of Suzhou City from November 2020 to February 2023 were divided into two groups according to the random number table method,and each group included 40 cases.The control group was treated with routine treatment for acute pancreatitis,the observation group was treated with Ulinastatin on the basis of routine treatment.Then the total effective rates,symptom and sign integral,biochemical indexes(amylase and lipase)and serum apoptosis indexes[cysteinyl aspartate specific proteinase-3(Caspase-3),soluble factor-related apoptosis(sFas)and soluble factor-related apoptosis ligand(sFasL)]before and after the treatment of two groups were compared.Result:The total effective rate of acute pancreatitis of observation group was significantly higher than that of control group,the difference was statistically significant(P<0.05);the symptom and sign integral,biochemical indexes and serum apoptosis indexes of two groups before the treatment were compared,the differences were not statistically significant(P>0.05),the symptom and sign integral,biochemical indexes and serum apoptosis indexes of two groups at the first and second week after the treatment were significantly lower than the scores and levels before the treatment,and the scores,biochemical and serum apoptosis indexes of observation group were all significantly lower than those of control group,the differences were statistically significant(P<0.05).Conclusion:The application effect of Ulinastatin in the treatment of patients with acute pancreatitis is better,and it can significantly improve the expression of serum apoptosis indexes of patients.

UlinastatinAcute pancreatitisApoptosis indexes

秦志新、黄语嫣

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苏州市相城人民医院消化内科 江苏 苏州 215131

乌司他丁 急性胰腺炎 细胞凋亡指标

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(21)