【摘 要】
：
目的:探讨鼻肠减压管(NDT)在重症急性胰腺炎(SAP)患者中的应用价值.方法:将56例SAP患者分为鼻肠减压管组(观察组)和普通鼻胃管组(对照组),各28例.分别观察两组患者胃肠减压引
【机 构】
：
广东省深圳市宝安区福永人民医院普通外科,广东深圳,518103
论文部分内容阅读
目的:探讨鼻肠减压管(NDT)在重症急性胰腺炎(SAP)患者中的应用价值.方法:将56例SAP患者分为鼻肠减压管组(观察组)和普通鼻胃管组(对照组),各28例.分别观察两组患者胃肠减压引流量、腹部胀痛缓解时间及转归,以及实验室检查项目和APACHE Ⅱ及Binder合并症评分的动态变化.结果:观察组与对照组对比,前者日平均胃肠减压引流量增多,腹胀痛缓解时间、平均住院时间缩短,中转手术率降低(均P＜0.05),两组病死率无统计学差异(p＞0.05)；观察组血白细胞(WBC)、C-反应蛋白(CRP),血清淀粉酶(AMY)、脂肪酶(LPS)及乳酸脱氢酶(LDH)恢复正常的时间均较对照组缩短(均P＜0.05)；APACHE Ⅱ及Binder评分从住院后第2～8天均明显低于对照组(均P＜0.05),直至第10天两组水平接近(均P＞0.05).结论:NDT的应用可显著改善SAP患者的病情,减少并发症的发生,降低外科手术率,缩短住院时间,值得在临床中推广应用.
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