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关于血液灌流论文范文资料 与血液灌流联合血液滤过治疗高脂血症性胰腺炎的疗效观察有关论文参考文献

版权:原创标记原创 主题:血液灌流范文 科目:毕业论文 2024-04-06

《血液灌流联合血液滤过治疗高脂血症性胰腺炎的疗效观察》:本文关于血液灌流论文范文,可以做为相关论文参考文献,与写作提纲思路参考。

【摘 要】目的探讨血液灌流联合血液滤过治疗高脂血症性胰腺炎(HLP)的临床疗效.

方法选取2014年2月至2015年2月收治的98例HLP患者,按随机数字表法分成两组,对照组49例予以常规治疗+血液滤过,观察组49例予以常规治疗+血液灌流+血液滤过.观察两组患者的心率(HR)、呼吸(R)、氧合指数(PaO2/FiO2)等心肺功能指标,检测三酰甘油(TG)、白细胞介素6(IL6)、C反应蛋白(CRP)等血液指标.采取急性生理与慢性健康状况评分Ⅱ(APACHE Ⅱ)进行评价.

结果治疗后,两组患者的心肺功能指标(HR、R、PaO2/FiO2)、APACHEⅡ评分与治疗前对比均明显改善(P<0.01);观察组治疗后的心肺功能指标(HR、R、PaO2/FiO2)、APACHEⅡ评分优于对照组(P<0.01).治疗后,两组患者的TG、IL6、CRP与同组治疗前对比均显著改善(P<0.01);观察组治疗后的TG、IL6、CRP优于对照组(P<0.01).观察组病死率为2.0%(1/49),对照组病死率为18.4%(9/49),两组病死率比较差异有统计学意义(P<0.01).

结论在常规治疗的基础上,血液灌流联合血液滤过治疗高脂血症性胰腺炎疗效确切,值做到推广.

【关键词】高脂血症;急性胰腺炎;血液滤过;血液灌流

中图分类号:R576文献标识码:ADOI:10.3969/j.issn.10031383.2016.01.016

【Abstract】ObjectiveTo explore the clinical effect of hemoperfusion combined with hemofiltration in the treatment of hyperlipidemia pancreatitis(HLP).

MethodsFrom February, 2014 to February, 2015, 98 cases of patients with HLP were selected and randomly divided into observation group and control group with 90 cases in each group. The control group were treated with conventional treatment+hemofiltration, while the observation group were given conventional treatment+hemofiltration+hemoperfusion. Then, cardiopulmonary functional indexes like heart rate(HR), respiration(R), oxygenation index(PaO2/FiO2), etc. were observed between groups. And blood indexes such as triacylglycerol(TG), interleukin6(IL6) and Creactive protein(CRP), etc. were tested. In addition, acute physiology and chronic health evaluationⅡ(APACHEⅡ) was taken to evaluate all the abovementioned indexes.

Results After treatment,the cardiopulmonary functional indexes (HR,R,PaO2/FiO2) and APACHE Ⅱ score of both groups significantly improved when comparing to those before treatment(P<001), and those of the observation group were superior to those of the control group(P<0.01). After treatment, TG,IL6 and CRP of both groups significantly improved compared to those before treatment(P<001), and those of the observation group improved more significantly than those of the control group(P<0.01).Besides, mortality of the observation group was 20%(1/49), significantly lower than that(18.4%,9/49) of the control group, and the difference was statistically significant(P<0.01).

ConclusionOn the basis of conventional treatment, hemoperfusion combined with hemofiltration has accurate curative effect for patients with hyperlipidemia pancreatitis. Thus, it is worthy of promotion in clinical practice.

【Key words】hyperlipidemia; acute pancreatitis; hemoperfusion; hemofiltration

血液灌流论文参考资料:

高会军论文灌水

中华血液学杂志

临床血液学杂志

结论:血液灌流联合血液滤过治疗高脂血症性胰腺炎的疗效观察为关于血液灌流方面的的相关大学硕士和相关本科毕业论文以及相关血液灌流论文开题报告范文和职称论文写作参考文献资料下载。

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