摘要
目的:探讨急性重症胰腺炎早期高渗盐水液体复苏的临床疗效。方法:急性重症胰腺炎患者128例随机分为两组,对照组64例,采取常规治疗,观察组64例,在对照组常规治疗基础上予早期高渗盐水液体复苏,比较两组治疗效果。结果:观察组与对照组Ranson评分、APACHEⅡ评分和CTSI评分均较治疗前得到改善,观察组与对照组比较效果更好(P<0.05)。并发症发生率和病死率观察组低于对照组,两组比较差异有统计学意义(P<0.05)。结论:急性重症胰腺炎早期高渗盐水液体复苏治疗效果较好,可明显降低患者的并发症和病死率。
Objective:To investigate the clinical effect of early hypertonic saline fluid resuscitation in acute severe pancreatitis.Methods:A total of 128 patients with acute severe pancreatitis were randomly divided into 2 groups,64 patients in the control group,treated by conventional treatment,64 patients in the observation group was given early hypertonic saline fluid resuscitation on the basis of conventional treatment.The treatment effects between the two groups were compared.Results:The Ranson score,APACHEⅡscore and CTSI score of the observation group and the control group were all improved compared with those before treatment,the effect of observation group were better than that of the control group(P<0.05).The incidence of complications and death cases were lower in the observation group than that of the control group,there was a significant difference between the control group and the observation group(P<0.05).Conclusion:Early hypertonic saline fluid resuscitation in acute severe pancreatitis have good effect and can significantly reduce the complications and mortality of patients.
作者
陈华
CHEN Hua(Beijiao Hospital,Shunde District of Foshan,Foshan 528311,China)
出处
《华夏医学》
CAS
2020年第1期84-87,共4页
Acta Medicinae Sinica
关键词
急性重症胰腺炎
高渗盐水
液体复苏
acute severe pancreatitis
hypertonic saline
fluid resuscitation
