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强化胰岛素治疗重症急性胰腺炎临床观察 被引量:1

Clinical Observation of Intensive Insulin Therapy in Severe Acute Pancreatitis
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摘要 目的研究分析强化胰岛素治疗重症急性胰腺炎的临床效果。方法选取2013年6月~2015年6月我院收治的重症急性胰腺炎患者82例,随机分为两组,各41例。对照组给予常规治疗,观察组给予强化胰岛素治疗,对比两组临床治疗效果。结果观察组治疗后血清IL-6和CRP水平低于对照组,差异有统计学意义(P〈0.05);观察组住院时间、治疗后APACHEⅡ评分少于对照组,差异有统计学意义(P〈0.05);观察组病死率与对照组相比,差异无统计学意义(P〉0.05)。结论强化胰岛素治疗重症急性胰腺炎效果显著,能够显著改善患者血清炎症因子水平,减少APACHEⅡ评分,缩短住院时间,促进早日康复。 Objective To study the clinical effect of intensive insulin therapy for severe acute pancreatitis.Methods From June 2013 to June 2015,82 patients with severe acute pancreatitis were randomly divided into two groups,41 cases in each group.The control group was given conventional treatment,the observation group was treated with intensive insulin,and the clinical therapeutic effect of the two groups was compared.Results The levels of serum IL-6 and CRP in the observation group were significantly lower than those in the control group(P〈0.05),the APACHE score in the observation group was significantly less than that in the control group(P〉0.05),the difference was not statistically significant(P〈0.05).Conclusion Intensive insulin treatment of severe acute pancreatitis is effective,can significantly improve the level of serum inflammatory factors,reduce the APACHE II score,shorten the length of hospital stay,and promote the early recovery.
作者 杨玉梅
出处 《中国继续医学教育》 2015年第28期144-145,共2页 China Continuing Medical Education
关键词 强化胰岛素 重症急性胰腺炎 预后 临床效果 Intensive insulin Severe acute pancreatitis Prognosis Clinical effect
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