摘要
目的 研究综合方案在胰腺炎患 者中的生化体征及CT影像改变情况。方 法 选取2014年10月-2015年10月医院诊治 80例胰腺炎患者资料进行分析,将患者根 据随机数字方法分为两组,每组40例。对 照组采用常规方法治疗,实验组采用综合 方案治疗,比较两组患者治疗前后生化体 征及CT影响改变情况。结果 实验组缓解 时间、血淀粉酶恢复正常时间、尿淀粉酶 恢复正常时间、白细胞恢复正常时间以及 住院时间,显著短于对照组(P<0.05);两 组患者治疗前血淀粉酶、尿淀粉酶及血白 细胞生化体征指标差异不显著(P>0.05); 实验组治疗后血淀粉酶、尿淀粉酶及血 白细胞生化体征指标,显著低于对照组 (P<0.05);两组患者治疗前胰头、胰体以 及胰尾平扫各部位密度、增强各部位密度 差异不显著(P>0.05);实验组患者治疗后 胰头、胰体以及胰尾平扫各部位密度差异 不显著(P>0.05);实验组治疗后胰头、 胰体增强各部位密度,显著高于对照组 (P<0.05);实验组治疗后胰尾增强部位密 度,显著低于对照组(P<0.05)。结论 胰 腺炎患者采用综合方案治疗效果理想,能 够改善患者生化体征指标,改善患者CT影 像情况,值得推广应用。
Objective To study the biochemical signs and CT image change in pancreatitis patients with integrated program. Methods Selected 80 cases with pancreatitis from October 2014 to October 2015 in the hospital, the patients were randomly divided into two groups according to the method, 40 cases in each group. The control group with conventional therapy, The experimental group with integrated treatment regimens, before and after treatment compared biochemical signs and CT affect change. Results The remission time, blood amylase returned to normal, urine amylase returned to normal, white blood cells return to normal time and length of hospital stay was significantly shorter than the control group (P<0.05), before treatment, two groups of patients,serum amylase, urine amylase blood cell biochemical signs indexes were no significant differences (P>0.05), after treatment, the experimental group serum amylase, urine amylase and biochemical signs of blood leukocyte index was significantly lower than the control group (P<0.05), two groups of patients former head of the pancreas, pancreatic body and tail of the pancreas scan various parts of the density and enhance the various parts of the density difference was not significant (P>0.05), experimental group patients with pancreatic head, pancreatic body and tail of the pancreas scan various parts of the density difference was not significant (P>0.05), the experimental group after treatment of pancreatic, pancreatic body and enhancing the site density was significantly higher (P<0.05), the experimental group after treatment enhanced pancreatic tail site density was significantly lower than the control group (P<0.05). Conclusion Integrated program used in the patients with pancreatitis can improve symptoms and biochemical indicators,it improve patient CT imaging situation and should be widely applied.
【关键词】综合方案;胰腺炎;生化体征;CT影像
【中图分类号】R445.3;R576
【文献标识码】A
【DOI】 10.3969/j.issn.1672- 5131.2016.05.029
前言
胰腺炎是临床上常见的疾病,这种疾病发病率较高,临床病死率 能够达到10%~25%,该疾病机制复杂,包括胆道疾病、长期饮酒、遗 传因素以及免疫异常等[1]。研究显示[2]:不同病因引起的胰腺炎虽然 起步各异,但是病理学改变十分类似。患者发病后如果不采取积极有 效的方法治疗,将会引起胰腺腺泡及胰岛细胞发生不可逆性损害[3]。 常规方法虽然能够改善患者症状,但是长期疗效欠佳,治疗预后较 差,死亡率较高[4]。近年来,综合方案在胰腺炎患者中得到应用,且 效果理想。为了探讨综合方案在胰腺炎患者中的生化体征及CT影像改 变情况。选取2014年10月~2015年10月医院诊治80例胰腺炎患者资料 进行分析,报告如下。
中国CT和MRI杂志
第14卷, 第 5 期
2016年05月
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