水飞蓟素与左卡尼汀对非酒精性脂肪性肝病的临床研究

目的：观察水飞蓟素联合左卡尼汀治疗非酒精性脂肪肝的疗效。方法：将68例脂肪肝患者随机分为治疗组与对照组治疗组34例给予水飞蓟素联合左卡尼汀治疗8周。对照组34例使用水飞蓟素治疗8周,治疗前后检查各组皿清转氨酶、血脂及肝脏超声。结果：水飞蓟素联合左卡尼汀治疗组总有效率91．1％（31例）,明显优于对照组且差异有统计学意义（P〈0．05）。结论：水飞蓟素联合左卡尼汀治疗非酒精性脂肪性肝病患者具有良好作用。     

前列地尔对急性胰腺炎患者血浆D-二聚体的影响

目的 研究急性胰腺炎(AP)患者使用前列地尔治疗前后D-二聚体的变化及前列地尔对AP患者的治疗.方法 将65例急性胰腺炎病人随机分为两组,治疗组32例,对照组33例.对照组给予常规治疗,治疗组在常规治疗基础上应用前列地尔10μg加入0.9%生理盐水100mL中静脉滴注,每日1次,连续7d,治疗前及7d后检测患者血浆D-二聚体水平.结果 前列地尔治疗后治疗组较对照组D-二聚体水平明显降低,且差异有显著性(P＜0.01).结论 前列地尔可通过改善微循环状态对AP患者具有一定的治疗作用.     

高脂血症性重症急性胰腺炎临床特征分析

Objective To investigate the clinical characteristics of sever acute pancreatitis (SAP) with high triglyceride(TG). Methods 82 patients with onset of SAP within 72 hours were involved in this study. These patients were divided into high TG group (n=26) and normal TG group (n=56) according to serum TG lev-els tested (high TG group≥1.7 mmoL/L;normal TG group<1.7 mmol/L on admission). Results 31.71% (26/82) SAP patients were discovered with high TG APACHE-Ⅱ grade of high TG group was higher than that of normal TG group on admission[(14.62±7.58) vs (10.68±5.21),P<0.01]. Within the onset of 72 hours,the incidence of cardiac,pulmonary and kidney dysfunction in high TG group was higher than those of normal TG group (34.62%,34.62% and 19.23% vs 5.36%,3.57% and 1.79%,P<0.01),and the incidence of pancreatic pseudocysts was higher in high TG group than that of normal group(42.31% vs 7.14%,P<0.01). No emergency and early-stage surgical cases in high TG group but 13 cases(23.21%) in normal group. There were 2 cases of high TG group and 4 of normal group averting to operation. Conclusion SAP patients with high TG have high incidence of early-stage organ dysfunction and local complication,in this case nonsurgical intervention is the first choice.     

营养治疗对肝硬化患者蛋白质代谢变化的影响

肝硬化患者多伴有明显的蛋白质营养不良,营养疗法目前受到人们的重视.本文用稳定同位素15N-甘氨酸为示踪剂,了解肝炎肝硬化患者的动态蛋白质代谢变化,并结合临床上一些蛋白质代谢的生化指标,以观察代偿期肝硬化患者在营养治疗中蛋白质代谢变化的特点.     

高脂血症性重症急性胰腺炎临床特征分析

Objective To investigate the clinical characteristics of sever acute pancreatitis (SAP) with high triglyceride(TG). Methods 82 patients with onset of SAP within 72 hours were involved in this study. These patients were divided into high TG group (n=26) and normal TG group (n=56) according to serum TG lev-els tested (high TG group≥1.7 mmoL/L;normal TG group<1.7 mmol/L on admission). Results 31.71% (26/82) SAP patients were discovered with high TG APACHE-Ⅱ grade of high TG group was higher than that of normal TG group on admission[(14.62±7.58) vs (10.68±5.21),P<0.01]. Within the onset of 72 hours,the incidence of cardiac,pulmonary and kidney dysfunction in high TG group was higher than those of normal TG group (34.62%,34.62% and 19.23% vs 5.36%,3.57% and 1.79%,P<0.01),and the incidence of pancreatic pseudocysts was higher in high TG group than that of normal group(42.31% vs 7.14%,P<0.01). No emergency and early-stage surgical cases in high TG group but 13 cases(23.21%) in normal group. There were 2 cases of high TG group and 4 of normal group averting to operation. Conclusion SAP patients with high TG have high incidence of early-stage organ dysfunction and local complication,in this case nonsurgical intervention is the first choice.     

高脂血症性重症急性胰腺炎临床特征分析

Objective To investigate the clinical characteristics of sever acute pancreatitis (SAP) with high triglyceride(TG). Methods 82 patients with onset of SAP within 72 hours were involved in this study. These patients were divided into high TG group (n=26) and normal TG group (n=56) according to serum TG lev-els tested (high TG group≥1.7 mmoL/L;normal TG group<1.7 mmol/L on admission). Results 31.71% (26/82) SAP patients were discovered with high TG APACHE-Ⅱ grade of high TG group was higher than that of normal TG group on admission[(14.62±7.58) vs (10.68±5.21),P<0.01]. Within the onset of 72 hours,the incidence of cardiac,pulmonary and kidney dysfunction in high TG group was higher than those of normal TG group (34.62%,34.62% and 19.23% vs 5.36%,3.57% and 1.79%,P<0.01),and the incidence of pancreatic pseudocysts was higher in high TG group than that of normal group(42.31% vs 7.14%,P<0.01). No emergency and early-stage surgical cases in high TG group but 13 cases(23.21%) in normal group. There were 2 cases of high TG group and 4 of normal group averting to operation. Conclusion SAP patients with high TG have high incidence of early-stage organ dysfunction and local complication,in this case nonsurgical intervention is the first choice.     

高脂血症性重症急性胰腺炎临床特征分析

Objective To investigate the clinical characteristics of sever acute pancreatitis (SAP) with high triglyceride(TG). Methods 82 patients with onset of SAP within 72 hours were involved in this study. These patients were divided into high TG group (n=26) and normal TG group (n=56) according to serum TG lev-els tested (high TG group≥1.7 mmoL/L;normal TG group<1.7 mmol/L on admission). Results 31.71% (26/82) SAP patients were discovered with high TG APACHE-Ⅱ grade of high TG group was higher than that of normal TG group on admission[(14.62±7.58) vs (10.68±5.21),P<0.01]. Within the onset of 72 hours,the incidence of cardiac,pulmonary and kidney dysfunction in high TG group was higher than those of normal TG group (34.62%,34.62% and 19.23% vs 5.36%,3.57% and 1.79%,P<0.01),and the incidence of pancreatic pseudocysts was higher in high TG group than that of normal group(42.31% vs 7.14%,P<0.01). No emergency and early-stage surgical cases in high TG group but 13 cases(23.21%) in normal group. There were 2 cases of high TG group and 4 of normal group averting to operation. Conclusion SAP patients with high TG have high incidence of early-stage organ dysfunction and local complication,in this case nonsurgical intervention is the first choice.     

高脂血症性重症急性胰腺炎临床特征分析

Objective To investigate the clinical characteristics of sever acute pancreatitis (SAP) with high triglyceride(TG). Methods 82 patients with onset of SAP within 72 hours were involved in this study. These patients were divided into high TG group (n=26) and normal TG group (n=56) according to serum TG lev-els tested (high TG group≥1.7 mmoL/L;normal TG group<1.7 mmol/L on admission). Results 31.71% (26/82) SAP patients were discovered with high TG APACHE-Ⅱ grade of high TG group was higher than that of normal TG group on admission[(14.62±7.58) vs (10.68±5.21),P<0.01]. Within the onset of 72 hours,the incidence of cardiac,pulmonary and kidney dysfunction in high TG group was higher than those of normal TG group (34.62%,34.62% and 19.23% vs 5.36%,3.57% and 1.79%,P<0.01),and the incidence of pancreatic pseudocysts was higher in high TG group than that of normal group(42.31% vs 7.14%,P<0.01). No emergency and early-stage surgical cases in high TG group but 13 cases(23.21%) in normal group. There were 2 cases of high TG group and 4 of normal group averting to operation. Conclusion SAP patients with high TG have high incidence of early-stage organ dysfunction and local complication,in this case nonsurgical intervention is the first choice.     

前列地尔对急性胰腺炎患者血浆D-二聚体的影响

目的研究急性胰腺炎（AP）患者使用前列地尔治疗前后D-二聚体变化及前列地尔对AP患者的治疗意义。方法将65例急性胰腺炎患者随机分为两组,治疗组32例,对照组33例。对照组给予常规治疗,治疗组在常规治疗基础上应用前列地尔10μg加入0．9％生理盐水100ml中静脉滴注,每日1次连续7d,治疗前及7d后检测患者血浆D-二聚体水平。结果前列地尔治疗后治疗组较对照组D-二聚体水平明显降低,且差异有统计学意义（P〈0．01）。结论前列地尔可通过改善微循环状态对AP患者具有一定的治疗作用。