摘要
目的:观察早期间断短时血滤(ISVVH)治疗重症急性胰腺炎(SAP)的临床疗效。方法:符合ISVVH指征的20例SAP患者中,行ISVVH治疗者10例(A组),余10例(B组)未接受ISVVH治疗。对比观察两组患者的腹痛消失、腹胀缓解时间、APACHEⅡ评分以及CT严重指数(CTSI)评分。结果:治疗前,两组患者的APACHEⅡ评分及CTSI评分均无显著差异(P>0.05)。治疗后,A组患者的腹痛消失、腹胀缓解时间明显缩短(P<0.05),治疗后第7天的APACHEⅡ评分显著降低(P<0.05),治疗后第14天的CTSI评分亦明显降低(P<0.05)。结论:SAP早期行ISVVH治疗有利于控制病情,提高疗效。
Objective： To observe the effect of early intermittent short veno-venuous hemofihration （ISVVH） on the treatment of severe acute panereatitis （SAP）, Methods： APACHE lI grades≥ 14 and fluids negative imbalance served as the indications of hemofiltration and indicators of terminating hemofiltration, 20 cases of SAP patients meeting the indicators were divided into group A and group B, each group had 10 cases.Group A accepted ISVVH therapy, and group B didn＇t accept the ISVVH therapy. APACHE II grades, CT severity index （CTSI） grades and abdominal symptom were recorded, Results： Before ISVVH, There was no significant difference between the APACHE II grades and CTSI grades of two groups（P〉0.05）. Alter ISVVH,the APACHE Ⅱ grades and CTSI grades of group A were significantly lower than that in group B （P〈0.05）, the time of abdominal pain disappeared and abdominal distension remission were significantly shorter also （P〈0.05）. Conclusion： Early ISVVH can control the condition of SAP and enhance the efficacy.
出处
《中国医药导报》
CAS
2008年第25期34-35,共2页
China Medical Herald
关键词
重症急性胰腺炎
血液滤过
间断短时血滤
Severe acute panereatitis
Hemofiltration
Intermittent short veno-venuous hemofiltration
