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目的探讨急诊内镜对急性胆源性胰腺炎患者治疗的临床效果。方法 59例急性胆源性胰腺炎患者,根据不同治疗方法分为观察组(31例)与对照组(28例)。观察组患者选择急诊内镜的方法进行治疗,对照组患者选择保守治疗,观察对比两组临床疗效以及治疗安全性。结果观察组患者临床治愈率为93.55%,明显高于对照组的75.00%,差异有统计学意义(P<0.05);观察组患者平均住院时间、临床腹痛缓解时间以及血淀粉酶恢复正常时间均明显优于对照组患者,差异均有统计学意义(P<0.05)。结论对于急性胆源性胰腺炎患者,选择急诊内镜的方法进行治疗,表现出一定的安全性、微创性以及有效性,针对胰胆管开口阻力可以有效解除,避免患者出现胆汁胰管反流的现象,针对疾病的恶化进行有效抑制,最终显著提高急性胆源性胰腺炎患者的生活质量。
Objective To investigate the clinical effect of emergency endoscopy on patients with acute gallstone pancreatitis. Methods 59 patients with acute gallstone pancreatitis were divided into observation group (31 cases) and control group (28 cases) according to different treatment methods. Patients in the observation group were treated by emergency endoscopy, patients in the control group were treated conservatively, and the clinical efficacy and safety of the two groups were compared. Results The clinical cure rate in the observation group was 93.55%, which was significantly higher than that in the control group (75.00%), the difference was statistically significant (P <0.05). The average length of hospital stay, clinical abdominal pain relief time and blood amylase recovery time Significantly better than the control group patients, the differences were statistically significant (P <0.05). Conclusion For patients with acute gallstone pancreatitis, the emergency endoscopic treatment is selected for treatment, showing some safety, minimally invasive and effective, and can effectively relieve the pancreaticobiliary opening resistance and prevent the occurrence of bile duct reflux Of the phenomenon, for the effective suppression of disease progression, and ultimately significantly improve the quality of life of patients with acute biliary pancreatitis.