消炎痛栓預(yù)防膽總管結(jié)石ERCP術(shù)后胰腺炎的效果.pdf
本文關(guān)鍵詞:消炎痛栓預(yù)防膽總管結(jié)石ERCP術(shù)后胰腺炎的效果,由筆耕文化傳播整理發(fā)布。
消炎痛栓預(yù)防膽總管結(jié)石ERCP術(shù)后胰腺炎的效果 摘 要 目的觀察直腸應(yīng)用消炎痛栓對預(yù)防膽總管結(jié)石患者ERCP術(shù)后胰腺炎、高淀粉酶血
癥作用的效果,評定消炎痛栓直腸給藥在膽總管結(jié)石患者ERCP取石術(shù)中應(yīng)用的價(jià)
值。
血清淀粉酶,觀察ERCP術(shù)后高淀粉酶血癥、急性胰腺炎的發(fā)生率。 9.43% P o.05 ,均為輕型胰腺炎,經(jīng)常規(guī)禁飲食、抑酸、抗感染等治療后好轉(zhuǎn)。
兩組胰腺炎及高淀粉酶血癥發(fā)生率比較均有統(tǒng)計(jì)學(xué)差異。
結(jié)論直腸應(yīng)用消炎痛栓可以預(yù)防膽總管結(jié)石患者ERCP術(shù)后高淀粉酶血癥及胰腺
炎的發(fā)生。 研究生:孫騫 導(dǎo)師:趙清喜教授
關(guān)鍵詞:胰腺炎;高淀粉酶血癥;內(nèi)鏡逆行胰膽管造影術(shù);膽總管結(jié)石;
消炎痛栓 Abstract rectum the effectsofindomcthacin via objective:Toinvestigatepreventive suppositories on and after retrograde hype:ramylascmiapancreatitisERCP endoscopic cholangiopanereatography . ductstonesfrom Methods:113 whowere withc幻mmonbile 2011-01 patients diagnosed were two to2011-11 B MRCP dividedinto by ultrasound,CT,andrandomly groups. inthe Therewere60 inthe 53 control patients preventivegroup,,andpatients group. was rob'tillinthe 1 ofindomcthacin administeredvia OOmg suppositories preventive in 60minutesbefore noindomethacin was the group ERCP,while suppositoriesgiven control 0 0 group.Inaddition,diazepam 5-1mg andanisodamine 1mg and inboth lOminbeforeERCP.Serumwas given groups amylase pethidine 50mg Was detectedbefore hoursand24hoursafterthe occurrenc圮of ERCP,6 operation.The wasalsoobserved. post-ERCPpancreatitis PEP andhyperamylasemia Results:Theserum of6and24hoursafterERCPin amylase-levels preventivegroups than of lower those control were 81.87-4-48.49,73.57+56.92 were groups in PEPWaSobserved 126.79-土134.05,116.06-士129.96 P 0.05 .None preventivegroup, bu
本文關(guān)鍵詞:消炎痛栓預(yù)防膽總管結(jié)石ERCP術(shù)后胰腺炎的效果,由筆耕文化傳播整理發(fā)布。
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