罗清甜　朱　庆江西省赣州市人民医院消化内科，江西赣州　341000

胆源性急性胰腺炎的早期内镜治疗临床观察

罗清甜朱庆
江西省赣州市人民医院消化内科，江西赣州341000

目的探讨早期内镜治疗胆源性急性胰腺炎的临床应用效果。 方法选取2013年7月～2015年7月期间来我院治疗的100例胆源性急性胰腺炎患者作为研究对象，根据随机分组软件将100例患者随机分为观察组和对照组，每组各50例。对照组给予常规治疗，观察组给予早期内镜治疗，观察并比较两组临床治疗效果。结果观察组患者血淀粉酶、白细胞、肝功能恢复正常所用时间明显短于对照组；观察组治愈率、死亡率、住院时间优于对照组［100.0%vs 96.0%，0 vs 4.0%，（12.6±4.8）d vs（22.7±5.2）d］，差异存在统计学意义（P＜0.05）。观察组并发症发生率为6%，对照组并发症发生率为16%，两组患者并发症发生率比较差异有统计学意义（P＜0.05）。 结论对胆源性急性胰腺炎患者实施早期内镜治疗疗效显著，可有效降低因疾病死亡的机率，值得临床推广应用。

胆源性急性胰腺炎；早期；内镜；实验室指标

［Abstract］Objective To discuss the c1inica1 effect of ear1y therapeutic endoscopy in bi1iary acute pancreatitis.Methods 100 patients with bi1iary acute pancreatitis treated in our hospita1 from Ju1y 2013 to Ju1y 2015 were se1ected and random1y divided into observation group and contro1 group，each with 50 patients.Patients in the contro1 group were given conventiona1 treatment，whi1e patients in the observation group were given therapeutic endoscopy in an ear1y period.The c1inica1 effects were compared between two groups.Results The recovery time of b1ood amy1ase，white b1ood ce11s，and 1iver function was significant1y shorter in the observation group than in the contro1 group；and the resu1ts of cure rate，morta1ity rate and hospita1 stay in the observation group were superior to those in the contro1 group［100.0% vs 96.0%，0 vs 4.0%，and（12.56±4.8）d vs（22.7±5.2）d］，the differences were statistica11y significant（P＜0.05）.The incidence rate in the observation group was 6%，which was significant1y 1ower than the 16%in the contro1 group，the difference was statistica11y significant（P＜0.05）.Conclusion Ear1y app1ication of therapeutic endoscopy has significant effect in treatment of bi1iary acute pancreatitis，which can effective1y reduce the morta1ity rate and is worthy to be promoted.

［Key words］Bi1iary acute pancreatitis；Ear1y period；Endoscopy；Laboratory index

急性胰腺炎是临床治疗中常见的疾病，其主要致病原因包括胆道感染、胆石症以及胆道蛔虫等。有关研究发现，我国急性胰腺炎中最常见的病症类型为胆源性急性胰腺炎，约占全部急性胰腺炎类型的75%以上［1］。因为此病在临床治疗中的预后效果较差，患者大多数有生命危险，所以及时选取有效治疗方式对患者进行治疗非常必要。为研究早期内镜治疗胆源性急性胰腺炎的临床应用效果，我院选取了2013年7月～2015年7月期间来治疗的100例胆源性急性胰腺炎患者作为研究对象，现将结果报道如下。……