Retrospective Analysis Of Continuous Blood Purification For The Treatment Of Acute Biliary Pancreatitis

Objective:Retrospective analysis of continuous blood purification for the treatment of acute biliary pancreatitis.Methods:Taking January 1,2015 to January 1,2019 as the study interval,according to the case inclusion / exclusion criteria,collected by Haitai Electronic Medical Record System within the time period,the acute diagnosis of acute gallbladder was confirmed in the inpatient department of Chenzhou First People's Hospital A total of 72 patients with pancreatitis of the origin were analyzed retrospectively.According to the treatment methods of patients,they were divided into two groups.Among them,30 patients underwent continuous blood purification treatment,which was the continuous blood purification treatment group(abbreviated as blood purification group throughout the text),42 patients did not undergo continuous blood purification treatment Treatment,which is a non-continuous blood purification treatment group(the entire text is referred to as the non-blood purification group),comparing the blood amylase,serum creatinine,lipase,and urea nitrogen of the two groups of patients on day 1,day 3 and day 6,Total bilirubin,C-reactive protein,urinary amylase,alanine aminotransferase and other indicators,as well as the difference in the relief time of fever,abdominal pain,nausea and vomiting,and the efficacy and clinical outcome of the two groups of patients Compare and perform statistical analysis.Results:There was no statistically significant difference in general data such as age,body mass index,and gender between the two groups(p ?0.05).Before treatment,there was no statistically significant difference in the clinical detection index values of blood amylase,serum creatinine,lipase,urea nitrogen,total bilirubin,C-reactive protein,urine amylase,and alanine aminotransferase(p ? 0.05).There was no statistically significant difference in blood and urine amylase results on the first and third days after treatment(p?0.05),but serum creatinine,lipase,urea nitrogen,total bilirubin,C-reactive protein,and gluten Differences in the results of alanine aminotransferase were statistically significant(p?0.05);blood amylase,serum creatinine,lipase,urea nitrogen,total bilirubin,C-reactive protein,urine starch in the two groups of patients on the sixth day after treatment The differences in enzyme and alanine aminotransferase were statistically significant(p?0.05).The clinical symptom scores of the two groups of patients on the third and sixth days after treatment showed no significant difference in abdominal pain scores(p?0.05),but the blood purification group of vomiting,fever scores and total symptoms were lower than that of non-blood purification The difference between the groups was statistically significant(p?0.05).The relief time of clinical symptoms such as fever,abdominal pain,nausea and vomiting in the two groups was shorter than that in the non-blood purification group,and the difference was statistically significant(p? 0.05).The comparison of the efficacy and mortality of the two groups can be seen that the blood purification group's apparent efficiency and total effective rate are higher than the non-blood purification group,while the former has a significantly lower mortality rate than the latter.Conclusion:The use of continuous blood purification schemes in the clinical treatment of patients with acute biliary pancreatitis is faster and more effective in alleviating patients' clinical symptoms and improving the results of most clinical detection indicators than those who have not performed continuous blood purification schemes.Can effectively reduce and prevent a variety of inflammatory reactions,avoid or reduce damage to other organs and tissues,greatly shorten the length of hospital stay,high cure rate,low mortality.It is worth further promotion and application in the follow-up clinical practice.