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
欧美日韩国产精品自在自线| 国产成人精品国产亚洲欧洲| 91日韩欧美在线视频| 国产精品免费不卡视频| 在线免费不卡亚洲国产| 不卡视频免费一区二区三区| 视频一区二区 国产精品| 超碰在线播放国产精品| 国产又粗又猛又黄又爽视频免费| 91精品国产综合久久不卡| 日韩欧美中文字幕人妻| 欧美一区二区三区不卡高清视| 日韩国产亚洲一区二区三区| 又黄又爽禁片视频在线观看| 亚洲最新中文字幕在线视频| 日本深夜福利视频在线| 中文字幕中文字幕在线十八区| 欧美大黄片在线免费观看| 国产亚洲精品久久久优势| 午夜精品在线观看视频午夜| 久久精品国产99精品亚洲| 婷婷激情五月天丁香社区| 黄片三级免费在线观看| 欧美午夜一级艳片免费看| 亚洲熟妇av一区二区三区色堂| 久久人人爽人人爽大片av| 欧美精品中文字幕亚洲| 国产精品一区日韩欧美| 免费国产成人性生活生活片| 91欧美激情在线视频| 亚洲中文字幕人妻系列| 少妇毛片一区二区三区| 精品国产亚洲免费91| 欧美整片精品日韩综合| 国产成人精品国产亚洲欧洲 | 激情综合五月开心久久| 亚洲精品有码中文字幕在线观看| 韩国日本欧美国产三级| 国内外免费在线激情视频| 少妇被粗大进猛进出处故事| 男女午夜在线免费观看视频|