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目的 :探讨早期呼吸机支持及血滤机治疗急性重症胰腺炎的临床疗效。方法 :选取2016年3月至2017年3月在我院ICU接受治疗的60例急性重症胰腺炎患者进行研究,将所有患者随机分为观察组以及对照组,每组30例,对照组予以常规治疗,观察组予以早期呼吸机支持及血滤机治疗,实验结束后,对两组患者腹痛消失时间、腹胀消失时间、住院时间、腹膜刺激征消失时间以及病死率进行比较分析。结果 :观察组患者腹痛消失时间、腹胀消失时间、住院时间、腹膜刺激征消失时间以及病死率明显低于对照组,P<0.05。结论 :早期呼吸机支持及血滤机治疗急性重症胰腺炎的疗效显著,可有效缩短住院时间、降低死亡率,提高患者生存质量,值得临床推广应用。
Objective: To investigate the clinical efficacy of early ventilator support and hemofiltration in the treatment of acute severe pancreatitis. Methods: From March 2016 to March 2017, 60 patients with acute severe pancreatitis undergoing ICU in our hospital were selected for study. All patients were randomly divided into observation group and control group, 30 cases in each group. The control group was given routine The patients in the observation group were treated with early ventilator support and hemofiltration. After the experiment, the disappearance of abdominal pain, disappearance of abdominal distension, hospitalization time, peritoneal irritation disappearance time and mortality were compared between the two groups. Results: The disappearance of abdominal pain, disappearance of abdominal distension, hospitalization time, disappearance of peritoneal irritation and mortality in observation group were significantly lower than those in control group (P <0.05). Conclusion: Early ventilator support and hemofilter treatment of acute severe acute pancreatitis have significant curative effect, which can effectively shorten the hospital stay, reduce mortality and improve the quality of life of patients, which is worthy of clinical application.