【摘要】 目的 分析急诊ERCP治疗急性胆源性胰腺炎对临床效果、并发症及预后。方法 选择2019年2月—2021年2月该院收治的急性胆源性胰腺炎（ABP）患者100例，按随机数表分为两组，对照组50例采用常规治疗，研究组50例给予急诊ERCP治疗，对两组临床效果、并发症及预后进行比较。结果 研究组临床总有效率92.00%显著高于对照组84.00%，差异有统计学意义（χ~2=4.396,P<0.05）；研究组胆红素恢复（6.72±1.48）d、血清淀粉酶恢复（6.64±1.57）d与血白细胞计数恢复（5.76±1.15）d均比对照组短，差异有统计学意义（t=8.361、7.905、8.211,P<0.05）；研究组恶心呕吐消失时间（2.71±0.83）d、退热时间（4.05±1.11）d、肠道功能通气时间（4.08±1.17）d、腹痛缓解时间（6.62±1.10）d与住院时间（11.22±2.38）d均比对照组（4.75±0.68）、（6.29±1.06）、（5.42±1.31）、（9.15±1.23）、（16.87±2.67）d短，差异有统计学意义（t=13.444、10.320、5.395、10.842、11.170,P<0.05）；研究组消化道出血、休克、脏器功能衰退、胰腺囊肿、胆道感染等并发症发生率6.00%低于对照组22.00%，差异有统计学意义（χ~2=5.316,P<0.05）。结论 采用ERCP治疗急性胆源性胰腺炎，可缓解腹痛、发热等症状，减短住院时间，减少并发症发生。更多还原

【Abstract】 Objective To analyze the clinical effect, complications and prognosis of emergency ERCP in the treatment of acute biliary pancreatitis. Methods A total of 100 patients with ABP（acute biliary pancreatitis） admitted to the hospital from February 2019 to February 2021 were selected and divided into two groups according to the random number table. 50 patients in the control group received conventional treatment, and 50 patients in the study group received emergency ERCP treatment. The clinical effects, complications and prognosis of the two groups were compared. Results The total clinical effective rate of the study group was 92.00%, which was significantly higher than that of the control group 84.00%, with a statistically significant difference（χ~2=4.396, P<0.05）. The recovery of bilirubin（6.72±1.48） d, the recovery of serum amylase（6.64±1.57） d and the recovery of white blood cell count（5.76±1.15） d in the study group were all shorter than those in the control group, and the differences were statistically significant（t=8.361, 7.905, 8.211, P<0.05）. In the study group, the disappearance time of nausea and vomiting was（2.71±0.83） d, the fever reduction time was（4.05±1.11） d, the intestinal ventilation time was（4.08±1.17） d, the abdominal pain relief time was（6.62±1.10） d, and the hospitalization time was（11.22±2.38） d was shorter than the control group（4.75±0.68） d,（6.29±1.06） d and（5.42±1.31） d,（9.15±1.23） d,（16.87±2.67） d, the difference was statistically significant（t=13.444, 10.320, 5.395, 10.842, 11.170, P<0.05）. The incidence of complications such as gastrointestinal bleeding, shock, organ function decline, pancreatic cyst, and biliary tract infection in the study group was 6.00% lower than that in the control group 22.00%, the difference was statistically significant（χ~2=5.316,P<0.05）.Conclusion The use of ERCP in the treatment of acute biliary pancreatitis can relieve symptoms such as abdominal pain and fever, shorten the length of hospital stay, and reduce the incidence of complications.更多还原