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目的:对比观察重症急性胰腺炎手术和非手术治疗的临床效果。方法:选取重症急性胰腺炎患者78例,随机分为对照组和观察组分别39例,其中对照组患者手术治疗,观察组患者非手术治疗,对比两组患者的临床治疗效果。结果:对照组治愈率为69.2%,死亡率为30.8%,观察组治愈率为87.2%,死亡率为12.8%,对照组治愈率、死亡率和观察组比较,差异具有统计学意义(P<0.05);手术组20例患者发病48 h内进行手术治疗,死亡率为15.0%,48 h后进行手术治疗的患者中死亡率为47.4%,48 h内手术患者病死率明显低于发病48 h后的患者,差异具有统计学意义(P<0.05)。观察组并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论:重症急性胰腺炎采用非手术治疗其病死率较低,同时对于手术治疗的患者尽快实施手术能够降低患者的死亡率。
Objective: To compare the clinical effects of surgical treatment and non-surgical treatment of severe acute pancreatitis. Methods: Seventy-eight patients with severe acute pancreatitis were randomly divided into control group and observation group, with 39 cases in each group. Surgical treatment in the control group and non-surgical treatment in the observation group were compared with those in the two groups. Results: The cure rate of the control group was 69.2%, the mortality rate was 30.8%, the cure rate of the observation group was 87.2% and the mortality rate was 12.8%. The difference between the control group and the observation group was statistically significant (P < 0.05). In the operation group, 20 patients underwent surgical treatment within 48 hours after onset of disease with a mortality rate of 15.0%. The mortality rate was 47.4% in patients undergoing surgery after 48 hours. The mortality rate in patients undergoing surgery within 48 hours was significantly lower than that in the incidence of 48 hours After the patients, the difference was statistically significant (P <0.05). The incidence of complications in the observation group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). CONCLUSIONS: Non-surgical treatment of severe acute pancreatitis has a lower case fatality rate, and surgical treatment of patients as soon as possible to reduce the patient’s mortality rate.