摘要
目的探讨联合血液净化重症急性胰腺炎的临床疗效。方法 40例SAP患者按入院早晚随机分2组,常规治疗组(n=18)和CBP(continuous blood purification)组(n=22)。观察各组治疗前后以及2组间APACHEII评分、血清淀粉酶、SCr、CRP、WBC、BE、Sa O2的变化情况。结果治疗后,2组的AMS、SCr、CRP、WBC、BE、Sa O2值均低于治疗前(P<0.05);治疗后,CBP组AMS、SCr、CRP、WBC、BE、Sa O2值显著低于常规治疗组(P<0.05);治疗后,2组的APACHEII评分均显著低于治疗前(P<0.05);治疗后,CBP组APACHEII得分与常规治疗组相比,差异无统计学意义。结论在常规治疗基础上联合血液净化治疗重症急性胰腺炎效果明显,值得临床进一步推广。
Objective To evaluate the clinical curative effects of joint blood purification therapy in treatment severe acute pancreatitis. Methods 40 cases of SAP patients in our hospital were selected and randomly divided into conventional treatment group （n= 18） and continuous blood purification group （CBP） （n=22）, by hospitalization time. The APACHEII score, AMS, SCr, CRP, WBC, BE, SaO2 changes ofpre-treatment and post- treatment of the two groups were observed. Results After treatment, AMS, SCr, CRP, WBC, BE, SaO2 values of post-treatment in two groups were all lower than those of pre-treatment （P〈0.05）. After treatment, AMS, SCr, CRP, WBC, BE, SaO2 values of CBP group were all lower than those of conventional treatment group （P〈0.05）.After treatment, APACHEII scores of post-treatment in two groups were all lower than those of pre-treatment （P〈0.05）. After treatment, APACHEII scores of two groups had non significant difference. Conclusion The joint blood purification therapy based on the conventional treatment has a significant effects on severe acute pancreatitis patients,and is worthy of clinical promotion.
出处
《当代医学》
2015年第5期33-34,共2页
Contemporary Medicine
关键词
血液净化
重症急性胰腺炎
疗效
Blood purification
Severe acute pancreatitis
Curative effects
