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ID:37566872
大小:1.12 MB
页数:33页
时间:2019-05-25
《治疗方法在重症胰腺炎中的疗效对比》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、重庆医科大学硕士学位论文多种治疗方法在重症胰腺炎中的疗效对比姓名:喻文人申请学位级别:硕士专业:内科学(消化系病)指导教师:王立20090401重庆医科大学硕士研究生学位论文多种治疗方法在重症胰腺炎中的疗效对比摘要目的:比较多种治疗方法在重症胰腺炎(severeacutepancreatitis,SAP)中的疗效。方法:收集2002年1月至2008年12月我院收治的SAP患者178例,按照患者病因,分为重症急性胆源性胰腺炎(severeacutebiliarypancreatitis,SABP)42例,重症急性非胆源性胰腺炎136例。再按治疗方法,将胆源性胰腺炎分为内镜治疗
2、组与常规内科治疗组。将非胆源性胰腺炎分为生大黄联合血液滤过治疗组,生大黄治疗组,血液滤过治疗组,早期肠内营养治疗组,与常规内科治疗组。通过观察患者症状、体征、相关实验室指标、局部并发症发生率、转外科治疗率、死亡率及总住院时间,分别比较各大组内小组间的疗效差异。结果:内镜治疗SABP较单纯内科常规治疗效果好,腹痛消失快,治疗至第7日直接胆红素及APACHE.II评分降低下降明显,住院时间缩短,具有统计学意义(P3、odcell,WBC)计数及APACHE.II评分、局部并发症发生率及死亡率均有明显改变,具有统计学差异(P4、NICALEFFECTIVENESSDIFFERENTTHERAPEUTICAPPRoACHFoRSEVEREACUTEPANCREATITISABSTRACTPurpose:Toinvestigatetheclinicaleffectivenessofseveraltherapymethodsintreatingsevereacutepancreatitis(SAP).Methods:Tomakeaclinicalretrospectivereviewof178SAPpatients,dividingtheminto2groupsbythecauseo,fdisease.5、ThefirstgroupwasbiliarySAP,andthesecondonewasnon—biliarySAP.Thendividedtoseveralgroupbytherapymethods.ThebiliarySAPgroupincludingmedicalgroupandendoscopetreatmentgroup;thenon—biliarySAPoneincludingmedicaltreatmentgroup,hemofiltrationgroup,thecombinationofhemofiltrationwithrhubarbgroupandth6、eenteralnutritiongroup.Itwasobservedtoevaluatetheclinicaleffect,theclinicalsymptomsandsigns,themovementofindexoflab,theratesoflocalcomplication,surgicaltreatment,mortalityandhospitalizationtime.Results:Theendoscopictreatmenteffectofbiliarypancreatitiswasbetterthanasimpleconventionalmedical7、treatment,theabdominalpaindisappearedbeingmorequickly,thedirectbilirubinandAPACHE—IIscoredecreasedsignificantlyafterthetreatmentofdayto7,thehospitalization4重庆医科大学硕士研究生学位论文timebeshorter,withstatisticalsignificance(P
3、odcell,WBC)计数及APACHE.II评分、局部并发症发生率及死亡率均有明显改变,具有统计学差异(P4、NICALEFFECTIVENESSDIFFERENTTHERAPEUTICAPPRoACHFoRSEVEREACUTEPANCREATITISABSTRACTPurpose:Toinvestigatetheclinicaleffectivenessofseveraltherapymethodsintreatingsevereacutepancreatitis(SAP).Methods:Tomakeaclinicalretrospectivereviewof178SAPpatients,dividingtheminto2groupsbythecauseo,fdisease.5、ThefirstgroupwasbiliarySAP,andthesecondonewasnon—biliarySAP.Thendividedtoseveralgroupbytherapymethods.ThebiliarySAPgroupincludingmedicalgroupandendoscopetreatmentgroup;thenon—biliarySAPoneincludingmedicaltreatmentgroup,hemofiltrationgroup,thecombinationofhemofiltrationwithrhubarbgroupandth6、eenteralnutritiongroup.Itwasobservedtoevaluatetheclinicaleffect,theclinicalsymptomsandsigns,themovementofindexoflab,theratesoflocalcomplication,surgicaltreatment,mortalityandhospitalizationtime.Results:Theendoscopictreatmenteffectofbiliarypancreatitiswasbetterthanasimpleconventionalmedical7、treatment,theabdominalpaindisappearedbeingmorequickly,thedirectbilirubinandAPACHE—IIscoredecreasedsignificantlyafterthetreatmentofdayto7,thehospitalization4重庆医科大学硕士研究生学位论文timebeshorter,withstatisticalsignificance(P
4、NICALEFFECTIVENESSDIFFERENTTHERAPEUTICAPPRoACHFoRSEVEREACUTEPANCREATITISABSTRACTPurpose:Toinvestigatetheclinicaleffectivenessofseveraltherapymethodsintreatingsevereacutepancreatitis(SAP).Methods:Tomakeaclinicalretrospectivereviewof178SAPpatients,dividingtheminto2groupsbythecauseo,fdisease.
5、ThefirstgroupwasbiliarySAP,andthesecondonewasnon—biliarySAP.Thendividedtoseveralgroupbytherapymethods.ThebiliarySAPgroupincludingmedicalgroupandendoscopetreatmentgroup;thenon—biliarySAPoneincludingmedicaltreatmentgroup,hemofiltrationgroup,thecombinationofhemofiltrationwithrhubarbgroupandth
6、eenteralnutritiongroup.Itwasobservedtoevaluatetheclinicaleffect,theclinicalsymptomsandsigns,themovementofindexoflab,theratesoflocalcomplication,surgicaltreatment,mortalityandhospitalizationtime.Results:Theendoscopictreatmenteffectofbiliarypancreatitiswasbetterthanasimpleconventionalmedical
7、treatment,theabdominalpaindisappearedbeingmorequickly,thedirectbilirubinandAPACHE—IIscoredecreasedsignificantlyafterthetreatmentofdayto7,thehospitalization4重庆医科大学硕士研究生学位论文timebeshorter,withstatisticalsignificance(P
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