【摘要】 目的探讨腹腔灌洗对重症急性胰腺炎(SAP)患者急性生理和慢性健康评分系统Ⅱ(APACHEⅡ)评分和腹痛的影响。方法灌洗组32例SAP患者进行腹腔灌洗,对照组39例,均行综合内科治疗,比较两组患者的APACHEⅡ评分和腹痛评分。结果两组治疗前APACHEⅡ评分和腹痛评分差异无显著性意义(P>0.05)。治疗第1~3天灌洗组APACHEⅡ评分较对照组显著降低(P<0.01),第4~5天无显著性差异。治疗后灌洗组腹痛评分均较对照组明显下降(P<0.05)。结论腹腔灌洗可以降低SAP患者的APACHEⅡ评分和改善腹痛。更多还原

【Abstract】 Objective To investigate the influence of peritoneal lavage on APACHEⅡscores and abdominal pain in patients with severe acute pancreatitis(SAP).Methods 71 Patients were randomized to either peritoneal lavage group(n=32) or control group(n=39). APACHEⅡ scores and abdominal pain were compared.Results As compared with control group, APACHEⅡ scores were significantly decreased in the first three days in peritoneal lavage group (P<0.01), but the differences were no longer significant during 4～5 days; abdominal pain scores were significantly decreased (P<0.05) in peritoneal lavage group after the treatment began.Conclusion Peritoneal lavage could decreased the APACHEⅡ scores and relieved abdominal pain in SAP patients.更多还原