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1、GeneratedbyFoxitPDFCreator©FoxitSoftwarehttp://www.foxitsoftware.comForevaluationonly.2012NO.04中外医疗CHINAFOREIGNMEDICALTREATMENT论著急性重症胰腺炎胃肠功能衰竭防治体会黄淳罗宝英(福建省三明市第一医院福建三明365000)【摘要】目的探讨急性重症胰腺炎(seriousacutepancreatitis,SAP)采用非手术治疗防治胃肠功能衰竭效果。方法选取我院收治的68例SAP患者,随机分为2组,治疗组50例在应用非手术营养支持综合治疗基础上,加用中药丹参、生
2、大黄等,观察组18例单纯应用禁食、补液、抗感染、抑制胰腺外分泌等常规基础治疗。比较2组治愈率、并发症、死亡等效果。结果治疗组治愈率92.00%、并发胰腺囊肿5.88%、改为手术治疗1例、未发生胃肠功能衰竭者、无一例死亡,观察组治愈率72.22%、并发胰腺囊肿8.82%、并发胃肠功能衰竭8.82%、改为手术治疗1例,死亡1例。2组均取得了良好的治疗效果,并发症的发生率存在着显著差异(P<0.05)。结论非手术综合治疗合并胃肠功能衰竭的SAP有效,中药对防止SAP并发症的发生有着显著效果,尤其对防止胃肠功能衰竭效果明显,值得临床推广,胃肠功能的恢复对阻止重症急性胰腺炎的发展至关重要。
3、【关键词】急性重症胰腺炎胃肠功能衰竭非手术中药【中图分类号】R576【文献标识码】Ａ【文章编号】1674-0742(2012)02(a)-0015-03【Abstract】ObjectiveToinvestigatesevereacutepancreatitis(seriousacutepancreatitis,SAP)usingnonoperationtreatmentforpreventionofgastrointestinalfunctionfailureeffect.MethodsInourhospital,68patientswithSAP,wererandomlydi
4、videdintotwogroups,50casesinthetreatmentgroupintheapplicationofoperationnutritionalsupportonthebasisofcomprehensivetreatment,combinedwithDanshen,rhubarb,theobservationgroup18casessimpleapplicationoffasting,rehydration,resistancetoinfection,inhibitionofpancreaticexocrinesecretionandotherconven
5、tionalfoundationtreatment.Comparisonoftwogroupcurerate,complications,deathandothereffects.ResultsInthetreatmentgroup,thecurerateof92.00%,complicatedwithpancreaticcyst5.88%,changedtooperationintreatmentof1patientswithgastrointestinalfunctionfailure,hasnotoccurred,no1patientsdied,theobservation
6、groupcurerateof72.22%,8.82%,complicatedwithpancreaticcystcomplicatedwithgastrointestinalfunctionfailurein8.82%,changedtooperationintreatmentof1cases,1casesofdeath.Thetwogroupswereachievedagoodtherapeuticeffect,complicationrateshavesignificantdifference(P<0.05).ConclusionDiscussionofnonoperati
7、ontreatmentcombinedwithgastrointes-tinalfunctionfailureoftraditionalChinesemedicineonSAPSAPeffectively,preventcomplicationshaveasignificanteffect,especiallytopreventgastrointestinalfunctionfailureeffect,worthyofclinicalapplication,therecovery
