【摘要】 目的研究连续性肾脏替代治疗(CRRT)对治疗重症急性胰腺炎(SAP)的临床疗效。方法60例重症急性胰腺炎患者随机分为CRRT组和对照组,每组30例。CRRT组在常规综合保守治疗基础上使用CRRT,连续治疗3d;对照组仅常规综合保守治疗。比较两组的临床疗效以及APACHEⅡ积分。结果CRRT组总体疗效明显优于对照组(73.3%vs.43.3%)(P<0.05);CRRT组APACHEⅡ积分较对照组显著降低。结论CRRT治疗重症急性胰腺炎疗效确切。更多还原

【Abstract】 Objective To observe the therapeutic outcomes of continuous renal replacement therapy(CRRT) for severe acute pancreatitis(SAP).Methods Sixty patients with SAP were divided randomly into two groups with 30 cases each. The patients in control group were treated with conventional therapy.Besids conventional therapy,the patients in group CRRT were given an additional CRRT for 3 days.The recovery time of organ function and APACHEⅡ scores of two groups were compared. Results The total cure rate was significantly higher in group CRRT than that in control group(73.3% vs.43.3%)(P<0.05)).APACHEⅡ scores in group CRRT were significantly lower than those before and than those in control group after treatment. Conclusion On the basis of conventional therapy,CRRT has a good therapeutic efficacy in patients with SAP.更多还原