ERCP术后胰腺炎及高淀粉酶血症危险因素分析及预防性应用肾上腺素的效果研究

发布时间：2021-09-04 21:02

　　目的:分析经内镜逆行胰胆管造影术（Endoscopic Retrograde Cholangiopancreatography,ERCP）术后胰腺炎（post-ERCP pancreatitis,PEP）及高淀粉酶血症（Hyperamylasemia）的危险因素及研究预防性应用肾上腺素的效果。方法:本研究选取于河北医科大学第二医院在胆道微创外科2017年01月至2018年01月,术前诊断为胆总管结石行ERCP的患者,共239例符合纳入标准。设计表格,收集相关资料。最终确定ERCP术后胰腺炎及高淀粉酶发生率的相关危险因素、独立危险因素及预防性应用肾上腺素的效果。将相关危险因素进行单因素分析,对有统计学意义（P<0.05）的因素进行多因素logistic回归性分析。结果:纳入239例患者中,9例患者出现ERCP术后胰腺炎,发生率为3.76%（9例/239例）,76例患者被临床诊断为ERCP术后高淀粉酶血症,发生率为31.79%（76例/239例）。PEP单因素分析取石网篮进入胰管、胆总管结石直径（≤0.6cm）、困难插管（≥10分钟）为危险因素,肾上腺素为保护性因素。PEP多因素分析... 

【文章来源】：河北医科大学河北省

【文章页数】：47 页

【学位级别】：硕士

【文章目录】：
中文摘要
英文摘要
英文缩写
前言
材料与方法
结果
附表
讨论
结论
参考文献
综述 ERCP术后相关并发症的防治进展
    参考文献
致谢
个人简历


【参考文献】：
期刊论文
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