摘要
目的探讨ICU治疗重症急性胰腺炎（SAP）的效果。方法选取本院2010年1月-2014年5月收治的109例SAP患者作为研究对象,随机分为对照组（55例）和研究组（54例）。对照组给予常规内科治疗,研究组在对照组的基础上给予ICU综合治疗,比较两组的住院时间、死亡率及并发症发生率、APACHEⅡ评分及MODS评分、治疗72 h后各项生化指标。结果研究组的死亡率及并发症发生率显著低于对照组,差异有统计学意义（P〈0.05）。研究组治疗后的APACHEⅡ评分及MODS评分均显著低于对照组,差异有统计学意义（P〈0.05）。研究组治疗后72 h的BUN、SCr、TBi L、ALT水平显著低于对照组,差异有统计学意义（P〈0.05）。结论 ICU综合治疗SAP效果显著,能够有效降低死亡率及并发症发生率,改善患者的预后及生活质量,值得临床推广应用。
Objective To explore the effect of ICU in the treatment of severe acute pancreatitis. -/Iethods 109 cases with severe acute pancreatitis from January 2010 to May 2014 in our hospital were selected and randomly divided into the control group （55 cases） and the study group （54 cases）.The control group was given conventional internal medicine treatment,the study group was given ICU treatment on the basis of the control group.The hospital stay,mortality and in- cidence of complication,APACHE I] score and MODS score,biochemical indexes of 72 hours after treatment in two groups was compared. Results The mortality rate and the incidence rate of complication in the study group was lower than that in the control group,with significant difference（P〈0.05）.The score of APACHE Ⅱ MODS in the study group after treatment was lower than that in the control group,with significant difference （P〈0.05）.The level of BUN,SCr,TBiL, ALT in the study group after treatment at 72 hours was lower than that in the control group,with significant difference （P〈0.05）. Conclusion The effect of ICU in the treatment of severe acute panereatitis is significant,which can effectively reduce the mortality rate and incidence rate of complication,improve the prognosis quality of life of the patients,it is worthy of clinical promotion and application.
出处
《中国当代医药》
2015年第21期22-24,共3页
China Modern Medicine
关键词
危重病的监护与治疗
重症急性胰腺炎
疗效
Intensive care unit（ICU）
Severe acute pancreatitis
Curative effect
