觀察七葉皂苷鈉聯合奧曲肽治療急性輕型胰腺炎臨床效果

[摘要] 目的 研究七葉皂苷鈉聯合奧曲肽治療急性輕型胰腺炎臨床效果。方法 此次研究納入的對象來源于2010年3月—2015年10月該院收治急性輕型胰腺炎患者中隨機抽取的100例。將上述100例急性輕型胰腺炎患者隨機分為A組50例和A+Q組50例。兩組均給予常規治療，A組加用奧曲肽，A+Q組加用七葉皂苷鈉聯合奧曲肽治療。比較①急性輕型胰腺炎治療效果；②惡心嘔吐、腹脹腹痛持續時間、首次通便時間、血淀粉酶復常時間；③干預后患者C反應蛋白、血淀粉酶、尿淀粉酶和碳酸根離子的差異。結果 ①A+Q組較之A組急性輕型胰腺炎治療效果更高，P<0.05；②A+Q組較之A組惡心嘔吐、腹脹腹痛持續時間、首次通便時間、血淀粉酶復常時間更短，P<0.05；③干預后A+Q組較之A組C反應蛋白、血淀粉酶、尿淀粉酶和碳酸根離子更佳，P<0.05。結論 七葉皂苷鈉聯合奧曲肽治療急性輕型胰腺炎臨床效果確切，可有效緩解患者臨床癥狀，促進臨床生化指標恢復，值得推廣。

[關鍵詞] 七葉皂苷鈉；奧曲肽；急性輕型胰腺炎；臨床效果

[中圖分類號] R576 [文獻標識碼] A [文章編號] 1674-0742（2016）11（c）-0126-03

[Abstract] Objective To study the sodium aescinate joint Octreotide therapy for light acute pancreatitis clinical effect. Methods This study included in the object from the March 2010 to October 2015 in our hospital light acute pancreatitis patients randomly selected 100 cases. Will the 100 cases of acute light 50 cases of acute pancreatitis patients were randomly divided into group A and A + Q group of 50 cases. Two groups were given routine therapy， group A with Octreotide， A + Q group joint Octreotide plus with sodium aescinate treatment. Comparison ①light acute pancreatitis treatment effect； ②the duration of nausea and vomiting， abdominal distension， abdominal pain， for the first time purge time， blood amylase after often； ③after the intervention patients blood c-reactive protein， amylase， urinary amylase and the difference of carbonate ions. Results ①A + Q group higher than group A light acute pancreatitis treatment， P < 0.05； ②A + Q group as compared with A group of nausea and vomiting， abdominal distension， abdominal pain for the first time duration， purge time， blood amylase after often time shorter， P < 0.05； ③after the intervention A + Q group as compared with group A c-reactive protein， blood amylase， urinary amylase and better carbonate ions， P < 0.05. Conclusion Sodium aescinate joint Octreotide therapy for light acute pancreatitis clinical effect is precise， can effectively relieve the clinical symptoms， promoting clinical biochemical indicators， is worth promoting.

[Key words] Sodium aescinate； Octreotide； Light acute pancreatitis； Clinical effect

急性胰腺炎是因胰管阻塞、內壓驟升、胰腺血液供應不足等所致急性炎癥，可出現惡心嘔吐、反跳痛和腹脹等表現，早期輕癥者影像學檢查可見胰腺水腫，病情發展快，需及時治療，避免胰腺水腫發展至出血壞死[1-2]。該研究對七葉皂苷鈉聯合奧曲肽治療急性輕型胰腺炎臨床效果進行分析，現報道如下。

1 資料與方法

1.1 一般資料

此次研究納入的對象來源于該院收治急性輕型胰腺炎患者中隨機抽取的100例。……