重症急性胰腺炎的临床治疗分析(1)
【摘 要】目的：结合相关临床资料对重症急性胰腺炎的临床治疗方法和实际治疗效果进行了分析探究，旨在对重症急性胰腺炎治疗方案的优化改进提供相应的参考。方法：以2019年1月至12月间来我院就诊的138例重症急性胰腺炎患者为主要的研究对象。其中有36例患者采用的是手术治疗措施，而另外102例患者采用的则是保守治疗措施。最后对两种治疗模式的实际治疗效果进行了分析对比。结果：手术治疗的36例患者中，有26例患者顺利治愈，治愈率为72.22%。另外10例患者因为没有治愈而最终死亡，死亡率为27.78%。保守治疗措施的102例患者中，有89例患者顺利治愈，治愈率为87.25%。另有13例患者死亡，患者的死亡率为12.75%。治疗效果方面，手术治疗组与非手术治疗组存在显著统计学差异(P<0.05)，术后并发症方面两组患者同样存在显著统计学差异(P<0.05)。结论：对重症急性胰腺炎患者来说，其实完全先进行内科保守治疗，待出现明显的手术指征或实际恰当时再对患者开展手术治疗。需要强调的是，无论要采用哪一种治疗方法，都需要控制好患者的并发症情况并做好营养支持。
【关键词】重症急性胰腺炎患者;保守治疗;手术治疗;治疗分析
Clinical treatment of severe acute pancreatitis
Abstract：Objective： To analyze and explore the clinical treatment methods and actual therapeutic effects of severe acute pancreatitis in combination with relevant clinical data， so as to provide corresponding references for the optimization and improvement of treatment schemes for severe acute pancreatitis. Methods： 138 patients with severe acute pancreatitis who came to our hospital from January to December 2019 were taken as the main research object. Among them， 36 patients were treated surgically， while 102 patients were treated conservatively. Finally， the actual therapeutic effects of the two therapeutic modes are analyzed and compared. Results： Of the 36 patients treated surgically， 26 patients were successfully cured with a cure rate of 72.22%. Another 10 patients died because they were not cured， with a mortality rate of 27.78%. Of the 102 patients treated conservatively， 89 patients were successfully cured with a cure rate of 87.25%. Another 13 patients died， with a mortality rate of 12.75%. In terms of therapeutic effect， there was significant statistical difference between the surgical treatment group and the non-surgical treatment group (p<0.05)， and there was also significant statistical difference in postoperative complications between the two groups (p<0.05). Conclusion： For patients with severe acute pancreatitis， medical conservative treatment should be carried out completely， and the patients should be treated only when there are obvious surgical indications or when it is actually appropriate. What needs to be emphasized is that no matter which treatment method is to be adopted， the complications of patients should be well controlled and nutritional support should be provided.
Key Words：Severe Acute Pancreatitis Patients; Conservative treatment; Surgical treatment; Therapeutic analysis
【中圖分类号】R876 【文献标识码】B 【文章编号】1672-3783(2020)10-30--01, http://www.100md.com(卢静 黄斌)
【关键词】重症急性胰腺炎患者;保守治疗;手术治疗;治疗分析
Clinical treatment of severe acute pancreatitis
Abstract：Objective： To analyze and explore the clinical treatment methods and actual therapeutic effects of severe acute pancreatitis in combination with relevant clinical data， so as to provide corresponding references for the optimization and improvement of treatment schemes for severe acute pancreatitis. Methods： 138 patients with severe acute pancreatitis who came to our hospital from January to December 2019 were taken as the main research object. Among them， 36 patients were treated surgically， while 102 patients were treated conservatively. Finally， the actual therapeutic effects of the two therapeutic modes are analyzed and compared. Results： Of the 36 patients treated surgically， 26 patients were successfully cured with a cure rate of 72.22%. Another 10 patients died because they were not cured， with a mortality rate of 27.78%. Of the 102 patients treated conservatively， 89 patients were successfully cured with a cure rate of 87.25%. Another 13 patients died， with a mortality rate of 12.75%. In terms of therapeutic effect， there was significant statistical difference between the surgical treatment group and the non-surgical treatment group (p<0.05)， and there was also significant statistical difference in postoperative complications between the two groups (p<0.05). Conclusion： For patients with severe acute pancreatitis， medical conservative treatment should be carried out completely， and the patients should be treated only when there are obvious surgical indications or when it is actually appropriate. What needs to be emphasized is that no matter which treatment method is to be adopted， the complications of patients should be well controlled and nutritional support should be provided.
Key Words：Severe Acute Pancreatitis Patients; Conservative treatment; Surgical treatment; Therapeutic analysis
【中圖分类号】R876 【文献标识码】B 【文章编号】1672-3783(2020)10-30--01, http://www.100md.com(卢静 黄斌)