[1]侯昌权,乔云静.内科常规治疗联合床旁连续性肾脏替代疗法治疗 急性重症胰腺炎的效果观察[J].医学信息,2018,31(13):107-109.[doi:10.3969/j.issn.1006-1959.2018.13.031]
　HOU Chang-quan,QIAO Yun-jing.Clinical Observation of Routine Treatment Combined with Bedside Continuous Renal Replacement therapy in the Treatment of Severe Acute Pancreatitis[J].Journal of Medical Information,2018,31(13):107-109.[doi:10.3969/j.issn.1006-1959.2018.13.031]
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内科常规治疗联合床旁连续性肾脏替代疗法治疗 急性重症胰腺炎的效果观察()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年13期
页码:
107-109
栏目:
临床研究
出版日期:
2018-07-01

文章信息/Info

Title:
Clinical Observation of Routine Treatment Combined with Bedside Continuous Renal Replacement therapy in the Treatment of Severe Acute Pancreatitis
文章编号:
1006-1959（2018）13-0107-03
作者:
侯昌权1; 乔云静2
1.新疆军区总医院重症医学科，新疆 乌鲁木齐 830000； 2.新疆乌鲁木齐市友谊医院肾内科，新疆 乌鲁木齐 830000
Author(s):
HOU Chang-quan1; QIAO Yun-jing2
1.Department of Intensive Medicine,Xinjiang Military Region General Hospital,Urumqi 8300002,Xinjiang,China; 2.Department of Renal Medicine,Youyi Hospital,Urumqi 830000,Xinjiang,China
关键词:
内科治疗; 床旁连续性肾脏替代; 急性重症胰腺炎; ICU住院时间
Keywords:
Key words：Medical treatment; Bedside continuous renal replacement; Acute severe pancreatitis; ICU hospitalization time
分类号:
R576
DOI:
10.3969/j.issn.1006-1959.2018.13.031
文献标志码:
A
摘要:
目的 总结内科常规治疗联合床旁连续性肾脏替代疗法治疗急性重症胰腺炎的效果，为急性重症胰腺炎治疗工作提供参考。方法 选择我院2015年8月~2016年12月收治的72例SAP患者，以随机数字表法分为对照组和观察组，每组36例。对照组采取内科常规治疗，观察组联合CRRT治疗，对比两组SAP患者治疗期间ApacheⅡ评分、C反应蛋白、降钙素原、血TNF-a浓度等实验指标变化情况以及临床症状（腹痛、腹胀）缓解时间、ICU住院时间。结果 治疗后，观察组ApacheⅡ评分、C反应蛋白、降钙素原、血TNF-a浓度等临床指标均优于对照组，差异有统计学意义（P＜0.05）。观察组腹痛、腹胀恢复时间分别为（18.50±6.50）h和（17.20±5.20）h，短于对照组的（85.05±5.60）h和（82.50±6.50）h，差异具有统计学意义（P＜0.05）。观察组ICU住院时间为（7.55±3.50）d，短于对照组的（16.50±4.50）d，差异具有统计学意义（P＜0.05）。结论 内科常规治疗基础上联合CRRT治疗SAP，可短时间改善患者症状、缩短患者住院时间，应用效果显著。
Abstract:
Abstract：Objective To summarize the effect of routine medical therapy combined with continuous bedside renal replacement therapy in the treatment of severe acute pancreatitis and to provide reference for the treatment of severe acute pancreatitis.Methods 72 patients with SAP from August 2015 to December 2016 in our hospital were randomly divided into control group and observation group with 36 cases in each group.The control group was treated with routine internal medicine,the observation group was treated with CRRT.The changes of experimental indexes such as Apache II score,C-reactive protein,procalcitonin and blood TNF-a concentration in the two groups of SAP patients were compared with the clinical symptoms(abdominal pain,bloating),and ICU hospitalization time.Results After treatment,the clinical indexes of Apache II score,C-reactive protein,procalcitonin and blood TNF-a concentration in the observation group were superior to the control group,and the difference was statistically significant(P<0.05).The recovery time of abdominal pain and bloating in the observation group were(18.50±6.50)h and(17.20±5.20)h,which was shorter than that of the control group(85.05±5.60)h and(82.50±6.50)h,the difference was statistically significant(P<0.05).The ICU stay in the observation group was (7.55±3.50)d,which was shorter than that of the control group (16.50±4.50)d,and the difference was statistically significant(P<0.05).Conclusion On the basis of conventional medical treatment, combined with CRRT for SAP,it can improve the symptoms of patients and shorten the hospitalization time of patients,and the application effect is remarkable.

参考文献/References:

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更新日期/Last Update: 2018-07-01