摘要
目的探究腹腔穿刺置管引流联合奥曲肽治疗重症急性胰腺炎(SAP)的临床效果。方法将我院收治的68例SAP患者随机分为对照组和观察组,各34例。对照组给予腹腔穿刺置管引流治疗,观察组给予腹腔穿刺置管引流联合奥曲肽治疗,比较两组的治疗效果。结果观察组的治疗总有效率高于对照组(P<0.05)。治疗后,两组血清LPS、AMS水平均显著下降,血清Ca水平显著升高,且观察组优于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论腹腔穿刺置管引流联合奥曲肽治疗SAP,能够有效改善患者的生化指标水平,降低并发症发生率,值得临床应用。
Objective To explore the clinical effect of abdominal puncture and catheter drainage combined with octreotide in the treatment of severe acute pancreatitis(SAP).Methods Sixty-eight patients with SAP admitted in our hospital were randomly divided into control group and observation group,with 34 cases in each group.The control group was treated with abdominal puncture and catheter drainage,while the observation group was treated with abdominal puncture and catheter drainage combined with octreotide.The therapeutic effects were compared between the two groups.Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).After treatment,the levels of serum LPS and AMS decreased significantly and serum Ca levels increased significantly in both groups,and those in the observation group were superior to the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Abdominal puncture and catheter drainage combined with octreotide in the treatment of SAP can effectively improve the levels of biochemical indexes and reduce the incidence of complications,which is worthy of clinical application.
作者
孙攀
SUN Pan(the People's Hospital of Liquan County,Xianyang 713200,China)
出处
《临床医学研究与实践》
2019年第35期59-60,共2页
Clinical Research and Practice
关键词
腹腔穿刺置管引流
奥曲肽
重症急性胰腺炎
abdominal puncture and catheter drainage
octreotide
severe acute pancreatitis