消炎痛栓预防胆总管结石ERCP术后胰腺炎的效果.pdf

  本文关键词：消炎痛栓预防胆总管结石ERCP术后胰腺炎的效果，由笔耕文化传播整理发布。

消炎痛栓预防胆总管结石ERCP术后胰腺炎的效果 摘 要 目的观察直肠应用消炎痛栓对预防胆总管结石患者ERCP术后胰腺炎、高淀粉酶血 症作用的效果，评定消炎痛栓直肠给药在胆总管结石患者ERCP取石术中应用的价 值。 血清淀粉酶，观察ERCP术后高淀粉酶血症、急性胰腺炎的发生率。 9．43％ P o．05 ，均为轻型胰腺炎，经常规禁饮食、抑酸、抗感染等治疗后好转。 两组胰腺炎及高淀粉酶血症发生率比较均有统计学差异。 结论直肠应用消炎痛栓可以预防胆总管结石患者ERCP术后高淀粉酶血症及胰腺 炎的发生。 研究生：孙骞 导师：赵清喜教授 关键词：胰腺炎；高淀粉酶血症；内镜逆行胰胆管造影术；胆总管结石； 消炎痛栓 Abstract rectum the effectsofindomcthacin via objective：Toinvestigatepreventive suppositories on and after retrograde hype：ramylascmiapancreatitisERCP endoscopic cholangiopanereatography ． ductstonesfrom Methods：113 whowere withc幻mmonbile 2011-01 patients diagnosed were two to2011-11 B MRCP dividedinto by ultrasound，CT，andrandomly groups． inthe Therewere60 inthe 53 control patients preventivegroup，，andpatients group． was rob'tillinthe 1 ofindomcthacin administeredvia OOmg suppositories preventive in 60minutesbefore noindomethacin was the group ERCP，while suppositoriesgiven control 0 0 group．Inaddition，diazepam 5-1mg andanisodamine 1mg and inboth lOminbeforeERCP．Serumwas given groups amylase pethidine 50mg Was detectedbefore hoursand24hoursafterthe occurrenc圮of ERCP，6 operation．The wasalsoobserved． post-ERCPpancreatitis PEP andhyperamylasemia Results：Theserum of6and24hoursafterERCPin amylase-levels preventivegroups than of lower those control were 81．87-4-48．49，73．57+56．92 were groups in PEPWaSobserved 126．79-土134．05，116．06-士129．96 P 0．05 ．None preventivegroup， bu

  本文关键词：消炎痛栓预防胆总管结石ERCP术后胰腺炎的效果，由笔耕文化传播整理发布。