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目的:对应用视频辅助腹膜后清创术对继发出现感染症状的重症急性胰腺炎患者实施治疗的临床效果进行研究。方法:选择2012年12月-2014年12月在我院就诊的继发出现感染症状的重症急性胰腺炎患者88例,随机分为对照组和观察组,平均每组44例。采用常规清创术对对照组患者实施治疗;采用视频辅助腹膜后清创术对观察组患者实施治疗。对两组患者的降钙素原和C反应蛋白水平在用药前后的改善幅度、感染症状消失时间和临床清创治疗总时间、重症急性胰腺炎继发感染疾病的治疗效果、在清创手术治疗期间的不良反应发生例数。结果:观察组患者的降钙素原和C反应蛋白水平在用药前后的改善幅度明显大于对照组,组间比较,差异具有统计学意义(P<0.05);感染症状消失时间和临床清创治疗总时间明显短于对照组,组间比较,差异具有统计学意义(P<0.05);重症急性胰腺炎继发感染的治疗效果明显优于对照组,组间比较,差异具有统计学意义(P<0.05);在清创手术治疗期间的不良反应发生例数明显少于对照组,组间比较,差异具有统计学意义(P<0.05)。结论:应用视频辅助腹膜后清创术对继发出现感染症状的重症急性胰腺炎患者实施治疗的临床效果非常明显。
OBJECTIVE: To study the clinical effect of video-assisted retroperitoneal debridement in the treatment of severe acute pancreatitis secondary to infection. Methods: A total of 88 patients with severe acute pancreatitis with secondary infection who were seen in our hospital from December 2012 to December 2014 were randomly divided into control group and observation group, with an average of 44 in each group. The patients in the control group were treated by routine debridement. Video-assisted retroperitoneal debridement was used to treat the observation group. On the two groups of patients with procalcitonin and C-reactive protein levels before and after treatment to improve the disappearance of symptoms and clinical debridement of the total time of treatment of patients with severe acute pancreatitis secondary infection disease treatment effect in debridement surgery The number of adverse reactions occurred during the period. Results: The levels of procalcitonin and C-reactive protein in the observation group before and after treatment were significantly higher than those in the control group, the difference was statistically significant (P <0.05); the time of disappearance of symptoms and clinical debridement The total time was significantly shorter than the control group, the difference between the two groups was statistically significant (P <0.05); the treatment of severe acute pancreatitis secondary infection was significantly better than the control group, the difference between groups was statistically significant (P <0.05). The number of adverse reactions during debridement surgery was significantly less than that of the control group. The differences between the two groups were statistically significant (P <0.05). Conclusion: The clinical effect of video-assisted retroperitoneal debridement in the treatment of patients with severe acute pancreatitis with secondary infection symptoms is very obvious.