急性水肿型胰腺炎采用奥曲肽治疗的临床探讨
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DOI：10.16662/ki.1674-0742.2017.09.135
[摘要] 目的 探讨急性水肿型胰腺炎采用奥曲肽治疗的临床应用效果。方法 随机选取2015年6月―2016年6月期间该院收治的90例急性水肿型胰腺炎患者作为研究观察对象，随机将其分作对照组与观察组，各45例。对照组接受胃肠减压、营养支持、纠正水电解质等常规措施作治疗，观察组于对照组的治疗基础上联合奥曲肽进行治疗。观察两组患者的治疗总有效率、相关检测指标、症状缓解时间。结果 观察组的治疗总有效率为97.78%，明显优于对照组82.22%的总有效率；且观察组其C反应蛋白水平与血淀粉酶水平均明显低于对照组；对照组的腹痛缓解时间与正常进食时间均长于观察组；各项研究观察指标数据对比差异有统计学意义（P
[关键词] 急性水肿型胰腺炎；奥曲肽；临床效果
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）03（c）-0135-03
Clinical Study on Octreotide in Treatment of Acute Edema Sex Pancreatitis
ZHANG Wei-jing
Department of Nursing， Tangshan Worker’s Hospital， Tangshan， Hebei Province， 063000 China
[Abstract] Objective To observe the clinical application effect of octreotide in treatment of acute edema sex pancreatitis. Methods Random selection 90 cases of patients with acute edema sex pancreatitis admitted and treated in our hospital from June 2015 to June 2016 were selected as the observation objects and randomly divided into two groups with 45 cases in each， the control group received the routine measures of elderly patients with gastric cancer， nutrition support and symptomatic treatment to correct water and electrolyte， and the observation group were treated with octreotide on the basis of the control group， and the total treatment effective rate， related test indexes and symptom relief time of the two groups were observed. Results The total treatment effective rate in the observation group was obviously better than that in the control group（97.78% vs 82.22%）， and the C-reactive protein level and amy serum amylase level in the observation group were obviously lower than those in the control group， and the relief time of abdominal pain and normal food intake in the control group were longer than those in the observation group， and the differences in various research and observation indexes were statistically significant（P
[Key words] Acute edema sex pancreatitis； Octreotide； Clinical effect
急性胰腺炎是一N由胰蛋白酶消化作用影响而形成的临床常见急腹症，其可根据病理类型的差异分型为水肿型与坏死型，水肿型在临床上的发病率较高，且与坏死型对比其症状也明显较轻[1]。但其发病后仍会出现腹痛、恶心、呕吐、发热等不良症状，若未对此类症状及时做针对性的处理，则极有可能会致使患者因病引发感染、休克等各类并发症，从而对患者的生命造成严重威胁[2]。药物治疗是目前临床上常用于急性水肿型胰腺炎的治疗方案，该研究观察2015年6月―2016年6月期间于该院接受奥曲肽治疗急性水肿型胰腺炎的45例患者其应用效果，现报道如下。