摘要
目的:观察应用快速康复医学理念治疗重症急性胰腺炎的临床疗效。方法:采取前瞻性研究的方法,纳入我院2015年1月至2017年9月120例重症急性胰腺炎患者,将所有患者随机分为两组,60例患者病程治疗中采取快速康复医学理念进行治疗,即为康复组; 60例患者采用传统治疗方法治疗,即传统组。分析比较两组胸腹腔积液穿刺率、腹腔压力变化情况、氧合指数、血淀粉酶恢复时间、经口禁食时间、7 d后Balthazar CT≥C级患者比例、平均住院日、6个月内复发率。结果:与传统组比较,康复组胸腹腔穿刺率明显下降(P<0.05)、腹腔压力明显降低(P<0.05)、氧合指数及Balthazar CT≥C级患者比例明显降低(P<0.05)、血淀粉酶恢复时间、经口禁食时间、住院时间明显缩短(P<0.05),6个月内的复发率差异无统计学意义(P>0.05)。结论:应用快速康复医学理念治疗重症急性胰腺炎可快速有效减轻液体渗出,缩短血淀粉酶恢复、经口禁食及出院时间,不影响6个月内的复发率。
Objective To observe the clinical effecacy of rapid rehabilitation medicine in the treatment of severe acute pancreatitis. Methods A prospective study was conducted to enroll 120 patients with severe acute pancreatitis in our hospital from January 2015 to September 2017. All patients were randomly divided into two groups. 60 patients were treated with the concept of rapid rehabilitation medicine in the course of treatment,that is,rehabilitation group; 60 patients were treated with traditional therapy,that is,traditional group. The puncture rate of pleural and peritoneal effusion,abdominal pressure change,oxygenation index,recovery time of blood amylase,oral fasting time,proportion of patients with Balthazar CT≥C after 7 days,average hospitalization days and recurrence rate within 6 months were analyzed and compared between the two groups. Results Compared with the traditional group,the puncture rate of thoracic and abdominal cavity,abdominal pressure,oxygenation index and the proportion of Balthazar CT ≥ C patients in the rehabilitation group were significantly decreased( P<0.05). The recovery time of blood amylase,fasting time through mouth and hospitalization time were significantly shortened( P<0.05). There was no significant difference in recurrence rate within 6 months( P>0.05). Conclusion Application of rapid rehabilitation medicine concept in the treatment of severe acute pancreatitis can quickly and effectively reduce the liquid exudation,shorten the blood amylase recovery,oral fasting and discharge time,without affecting the recurrence rate within 6 months.
作者
高静
柏勇
GAO Jing;BAI Yong(Department of Gastroenterology,Renmin Hospital,Hubei University of Medicine,shiyan ,Hubei 442000,China;Department of lntensive Care Unit,Renmin Hospital,Hubei University of Medicine,shiyan ,Hubei 442000,China)
出处
《湖北医药学院学报》
CAS
2018年第6期552-555,共4页
Journal of Hubei University of Medicine
关键词
快速康复医学
重症急性胰腺炎
临床应用
Rapid rehabilitation medicine
Severe acute pancreatitis
Clinical application
