摘要
目的对急性胰腺炎消化内科治疗的临床效果进行分析,对治疗结果的临床疗效进行评估。方法 100例急性胰腺炎患者进行有针对性的对症治疗,对患者的胃肠进行持续性减压、禁食,当腹部疼痛感消失后给予适当的能量补充。医护人员密切注意患者的生命体征及血氧饱和度。用质子泵抑制剂来减少胃酸的分泌达到抑制消化液分泌的作用,给予患者生长抑素抑制胰液及胰酶的过量分泌。进行抗感染治疗,肌内注射丹参注射液来改善患者的循环从而促进患者的康复。观察患者治疗效果及治疗前后相关指标[血蛋白酶、急性生理学及温性健康状况评分Ⅱ(APACHE-Ⅱ)评分、白细胞(WBC)、白蛋白]变化情况。结果 100例急性胰腺炎患者在治疗后的总有效率为98%,100例患者治疗后血蛋白酶为(428±89)U/L、APACHE-Ⅱ为(7.9±1.7)分、WBC为(11.4±1.7)×10~9/L、白蛋白为(3.8±0.7)g/L优于治疗前的(1396±181)U/L、(12.2±4.3)分、(13.2±4.9)×10~9/L、(2.1±0.5)g/L,差异有统计学意义(P<0.05)。结论急性胰腺炎消化内科治疗效果显著,症状缓解明显,且对于患者体内相关指标的回归有着促进作用,并保持着较高的有效率及稳定的疗效水平。
Objective To analyze the clinical effect of acute pancreatitis treated in gastroenterology department, and to evaluate the clinical effect of treatment outcome. Methods A total of 100 acute pancreatitis patients all received targeted symptomatic treatment, and continuous gastrointestinal decompression and fasting were performed in patients. Appropriate energy supplement can be added when the abdominal pain disappeared. Medical workers should pay close attention to vital signs and blood oxygen saturation in patients. Using proton pump inhibitors to reduce the secretion of stomach acid to inhibit the secretion of digestive juice, which would lead to excessive secretion of somatostatin inhibiting pancreatic juice and pancreatic enzyme in patients. In anti-infection treatment, intramuscular injection of Danshen injection can improve circulation and promote rehabilitation in patients. Observation were made on treatment effect and changes of related indicators [blood protease, acute physiology and chronic health evaluation Ⅱ（APACHE-Ⅱ） score, white blood cells（WBC） and albumin] before and after treatment in patients. Results After treatment, 100 acute pancreatitis patients had total effective rate as 98%, blood protease as（428±89） U/L, APACHE- Ⅱ as（7.9±1.7） points, WBC as（11.4±1.7）×10^9/L and albumin as（3.8±0.7） g/L, which were all better than（1396±181） U/L,（12.2±4.3） points,（13.2±4.9）×10^9/L and（2.1±0.5） g/L before treatment. Their difference had statistical significance（P〈0.05）. Conclusion Treatment effect of acute pancreatitis in gastroenterology department is remarkable and symptoms are obviously relieved in patients. It also has a promoting effect for the return of related parameters in patients, and maintains a high efficient and stable curative effect.
作者
刘卫
LIU Wei.(Department of Internal Medicine, Shandong Province Dongping County Laohu Town Health Center, Taian 271511, China)
出处
《中国实用医药》
2017年第2期18-19,共2页
China Practical Medicine
关键词
急性胰腺炎
消化内科
临床效果
Acute pancreatitis
Gastroenterology department
Clinical effect
