急性重症胰腺炎首次排便时间与预后的相关性分析

目的:观察急性重症胰腺炎(SAP)患者首次排便时间与预后的关系.方法:将30例sAP患者,根据首次排出大便的时间分为3天排便组、5天排便组、7天排便组,观察3组患者腹痛缓解、血淀粉酶恢复、重要生化指标恢复、住院天数、治愈率之问的差异.结果:腹痛缓解、重要生化指标恢复、住院天数3组问比较P＜0.05;3天、5天、7天排便组治愈率分别为100%、88.9%、66.7%.结论:SAP患者首次排便时间短,治疗效果好、预后佳,反之则不然.SAP患者首次排便时间可以作为判断病情预后的指标.

Discussion on correlation between the SPA''''s first defecation time and prognosis

Objective:To observe the relationship between the severe acute pancreatitis(SPA) cases first defecation time and the dis-ease prognosis.Methods:Based on the first defecation time,30 SPA cases were divided into 3 groups,namely 3 days group,5 days group and 7 days group,observing the 3 group cases differences in the abdominal pain remission,the retrieval of blood amylase level,the re-trieval of important biochemical indexes,the hospital days and the cure rate.Results:There were statistical significances among the ab-dominal pain remission,the retrieval of important biochemical indexes and the hospital days(P<0.05);the 3 days group's cure rate was 100%,the 5 days group's was 88.9%,the 7 days group's was 66.7%.Conclusion:If the SPA cases have short first defecation time,they often have well treatment effect and favorable prognosis,the converse is not true.The first defecation time can be used as a index to judge the disease prognosis.