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目的探讨分析重症急性胰腺炎患者ICU综合治疗的临床疗效及预后效果。方法选取我院2011年7月~2015年7月收治的重症急性胰腺炎患者,共86例,将其分为观察组(43例)和对照组(43例),给予对照组实施常规治疗,给予观察组在对照组的基础上运用实施ICU综合治疗,对比两组治疗效果、APACHEⅡ评分、住院时间。结果两组治疗总有效率差异对比有意义(P<0.05)。观察组APACHEⅡ评分为(10.3±2.4)分,住院时间为(27.6±18.7)d,对照组APACHEⅡ为(16.8±2.5)分,住院时间为(58.6±22.4)d,观察组的PACHEⅡ评分和住院时间均优于对照组,两组差异对比有意义(p<0.05)。结论重症急性胰腺炎患者给予ICU综合治疗有显著的效果,能增强组织灌注和氧代谢,改善血流动力学,减轻液体负荷,通过调整水、电解质和酸碱平衡,稳定内环境,可有效降低并发症和死亡率并改善预后,缩短住院时间,促进患者康复,值得临床推广和应用。
Objective To investigate the clinical efficacy and prognosis of intensive care unit (ICU) in patients with severe acute pancreatitis. Methods A total of 86 patients with severe acute pancreatitis admitted to our hospital from July 2011 to July 2015 were selected and divided into observation group (43 cases) and control group (43 cases). The control group was given routine treatment, The observation group was given ICU comprehensive treatment on the basis of the control group. The therapeutic effect, APACHEⅡscore and hospital stay were compared between the two groups. Results The total effective rate difference between the two groups was significant (P <0.05). APACHEⅡscore of the observation group was (10.3 ± 2.4) points, the length of stay was (27.6 ± 18.7) days, the APACHEⅡwas (16.8 ± 2.5) in the control group and (58.6 ± 22.4) days in the observation group. The PACHEⅡscore of the observation group and hospitalization Time were better than the control group, the difference between the two groups was significant (p <0.05). Conclusions The ICU treatment in patients with severe acute pancreatitis has significant effect, which can enhance tissue perfusion and oxygen metabolism, improve hemodynamics and relieve fluid load. By adjusting the balance of water, electrolyte and acid-base, the internal environment can be effectively reduced Complications and mortality and improve the prognosis, shorten the hospital stay, promote patient rehabilitation, deserves clinical promotion and application.