天堂国产午夜亚洲专区-少妇人妻综合久久蜜臀-国产成人户外露出视频在线-国产91传媒一区二区三区

聯(lián)合血液凈化治療對重癥急性胰腺炎患者炎癥因子和療效的影響

發(fā)布時(shí)間:2018-05-29 02:07

  本文選題:血液凈化 + 血液濾過; 參考:《重慶醫(yī)學(xué)》2015年18期


【摘要】:目的探討聯(lián)合血液凈化(CBP)治療對重癥急性胰腺炎(SAP)患者炎癥因子和療效的影響。方法 82例SAP患者分為對照組42例和CBP組40例,對照組采用常規(guī)綜合治療方法,CBP組在對照組治療基礎(chǔ)上加用血液濾過聯(lián)合血液灌流治療。比較兩組患者治療前及治療72h后生命體征、炎癥因子、急性生理學(xué)與慢性健康狀況評分(APACHEⅡ評分)變化;記錄兩組患者臨床癥狀如腹脹、腹痛等消失的時(shí)間、體溫恢復(fù)時(shí)間、腸蠕動恢復(fù)時(shí)間、血淀粉酶恢復(fù)時(shí)間、住院時(shí)間及血液凈化過程中出現(xiàn)的不良反應(yīng)。結(jié)果治療72h后兩組患者的生命體征(T、HR、RR、MAP)、OI、TG及炎癥因子水平(TNF-α、IL-6、hs-CRP、PCT)均較治療前有顯著改善(P0.05),而CBP組患者M(jìn)AP、OI、TG及炎癥因子水平(TNF-α、IL-6、hs-CRP、PCT)較對照組改善更顯著(P0.01);CBP組的癥狀消失時(shí)間、體溫恢復(fù)時(shí)間、腸蠕動恢復(fù)時(shí)間、血淀粉酶恢復(fù)時(shí)間及住院時(shí)間均明顯短于對照組(P0.01);CBP組的治愈率高于對照組(P0.05),病死率低于對照組(P0.05);CBP的不良反應(yīng)輕微。結(jié)論在常規(guī)綜合治療基礎(chǔ)上,CBP治療能更有效地提高OI和APACHEⅡ評分,加快病情恢復(fù),縮短住院時(shí)間,其機(jī)制可能與更有效地清除體內(nèi)炎癥介質(zhì)和血脂有關(guān)。
[Abstract]:Objective to investigate the effect of combined blood purification therapy (CBP) on inflammatory factors in patients with severe acute pancreatitis (SAP). Methods Eighty-two patients with SAP were divided into control group (n = 42) and CBP group (n = 40). The changes of vital signs, inflammatory factors, acute physiology and chronic health status were compared before and 72 hours after treatment, and the clinical symptoms such as abdominal distension and abdominal pain were recorded, and the recovery time of body temperature was recorded. Intestinal peristalsis recovery time, blood amylase recovery time, hospitalization time and adverse reactions during blood purification. Results after 72 hours of treatment, the vital signs and the levels of TNF- 偽 IL-6hs-CRPnc-PCT in the two groups were significantly improved compared with those before treatment, while in the CBP group, the levels of TNF- 偽 IL-6hs-CRPPCT were improved more significantly than those of the control group, and the time of disappearance of symptoms and the time of recovery of body temperature were significantly improved compared with those of the control group, while the levels of TNF- 偽 IL-6hs-CRPPnhs-CRPPCT in the CBP group were significantly improved compared with those in the control group, and the recovery time of body temperature in the two groups was much higher than that in the control group, and that in the CBP group was significantly higher than that in the control group. The recovery time of intestinal peristalsis, the recovery time of blood amylase and the time of hospitalization were significantly shorter than those of the control group (P 0.01). The cure rate of CBP group was higher than that of control group (P 0.05), and the fatality rate was lower than that of control group (P 0.05). Conclusion on the basis of routine comprehensive therapy, CBP can effectively improve the scores of OI and APACHE 鈪,

本文編號:1949085

資料下載
論文發(fā)表

本文鏈接:http://sikaile.net/yixuelunwen/xiaohjib/1949085.html


Copyright(c)文論論文網(wǎng)All Rights Reserved | 網(wǎng)站地圖 |

版權(quán)申明:資料由用戶3b4b4***提供,本站僅收錄摘要或目錄,作者需要?jiǎng)h除請E-mail郵箱bigeng88@qq.com
麻豆精品视频一二三区| 亚洲精品一区二区三区免| 国产又粗又长又大高潮视频| 欧洲亚洲精品自拍偷拍| 国产一区在线免费国产一区| 麻豆欧美精品国产综合久久| 免费亚洲黄色在线观看| 九九热精品视频在线观看| 女厕偷窥一区二区三区在线| 麻豆tv传媒在线观看| 国产成人精品国内自产拍| 久草精品视频精品视频精品| 韩日黄片在线免费观看| 色偷偷偷拍视频在线观看| 欧美午夜性刺激在线观看| 尤物天堂av一区二区| 久热久热精品视频在线观看 | 国产精品美女午夜视频| 乱女午夜精品一区二区三区 | 国产精品视频一区二区秋霞| 中文人妻精品一区二区三区四区| 不卡中文字幕在线视频| 九七人妻一区二区三区| 粉嫩一区二区三区粉嫩视频| 亚洲一区二区三区一区| 欧美成人高清在线播放| 高清免费在线不卡视频| 国产精品欧美日韩中文字幕| 免费亚洲黄色在线观看| 情一色一区二区三区四| 丰满人妻一二区二区三区av | 99视频精品免费视频播放| 黑丝袜美女老师的小逼逼| 少妇人妻一级片一区二区三区| 欧美乱妇日本乱码特黄大片 | 欧美日韩精品久久亚洲区熟妇人| 国产传媒欧美日韩成人精品| 欧美日韩中国性生活视频| 91亚洲人人在字幕国产| 欧美国产日产综合精品| 99在线视频精品免费播放|