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介入超声置管引流治疗重症胰腺炎的研究

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目的 探讨介入超声置管引流治疗重症胰腺炎的疗效。方法 选取2019年1月—2022年12月本院收治的重症胰腺炎患者60例为研究对象,随机分为A组和B组,每组30例。其中,A组均予以常规抗炎及对症治疗,B组在A组基础上添加介入超声置管引流治疗,并就疗效展开对比分析。结果 B组临床疗效及治疗3d与7d时PA水平均较A组更高;并发症发生率较A组更低;治疗3d与7d时腹内压、胃肠减压量、CRP水平更低;症状消失、血淀粉酶恢复及住院时间均较A组更短;上述指标对比差异均有统计学意义(P<0。05)。结论 介入超声置管引流治疗重症胰腺炎可降低腹内压及人体炎性因子指标水平,并加快症状消失及血淀粉酶恢复速度,且治疗期间并发症较少,具备进一步临床运用及推广价值。
Interventional Ultrasound Catheterization and Drainage in Treatment of Severe Pancreatitis
Objective To explore curative effect of interventional ultrasound catheter drainage in treatment of severe pancreatitis.Methods The paper chose 60 patients with severe pancreatitis admitted to our hospital from January 2019 to December 2022,and divided them into two groups randomly,A and B,with 30 cases in each group.Both groups was treated with routine anti-inflammatory and symptomatic treatment,while group B with interventional ultrasound catheterization and drainage treatment.Curative effect was compared and analyzed.Results Clinical effect of group B and PA levels at 3 and 7 days of treatment were higher than group A.Incidence of complications,intra-abdominal pressure,gastrointestinal decompression volume,CRP level,and symptom disappearance at 3 and 7 days of treatment recovery of blood amylase and length of stay was lower than group A.Comparison of indicators showed statistical significance(P<0.05).Conclusion Interventional ultrasound catheterization and drainage therapy can reduce intra-abdominal pressure and levels of inflammatory factors of severe pancreatitis,accelerate symptom disappearance and blood amylase recovery,with fewer complications during treatment,which has further clinical application and promotion value.

Interventional ultrasound catheterization and drainageSevere pancreatitisComplicationsInflammatory factorsIntra-abdominal pressure

刘治

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河西学院附属张掖人民医院,甘肃 张掖 734000

介入超声置管引流 重症胰腺炎 并发症 炎症因子 腹内压

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(6)
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