异甘草酸镁联合奥曲肽在急性重症胰腺炎中的应用效果OA
Application Effect of Magnesium Isoglycyrrhizinate Combined with Octreotide in Acute Severe Pancreatitis
目的:分析异甘草酸镁联合奥曲肽在急性重症胰腺炎中的应用效果.方法:选取吉安市中心人民医院 2022 年 2 月—2024 年 6 月 80 例急性重症胰腺炎患者,按随机数字表法将其分为两组.两组均进行常规治疗,对照组(40 例)加奥曲肽治疗,研究组(40 例)在对照组基础上加异甘草酸镁治疗.两组均持续治疗 14 d.比较两组临床疗效、肠黏膜屏障功能、疾病严重程度、炎症因子水平与免疫球蛋白水平.结果:治疗后,研究组TNF-α、IL-6、二胺氧化酶(DAO)、D-乳酸、内毒素(ET)低于对照组,IL-10、IgG、总有效率高于对照组(P<0.05);治疗 3、7、14 d后,研究组急性生理与慢性健康状况Ⅱ(APACHEⅡ)评分低于对照组(P<0.05).结论:异甘草酸镁联合奥曲肽可降低患者炎症因子水平、疾病严重程度,改善患者免疫功能、肠黏膜屏障功能.
Objective:To analyze the application effect of Magnesium Isoglycyrrhizinate combined with Octreotide in acute severe pancreatitis.Method:A total of 80 patients with acute severe pancreatitis from Ji'an Central People's Hospital from February 2022 to June 2024 were selected and divided into two groups according to the random number table method.Both groups used routine treatment,the control group(40 cases)was treated with Octreotide in addition,and the study group(40 cases)was treated with Magnesium Isoglycyrrhizinate on the basis of the control group.Both groups were treated continuously for 14 days.The clinical efficacy,intestinal mucosal barrier function,disease severity,inflammatory factor levels and immunoglobulin levels of the two groups were compared.Result:After treatment,the levels of TNF-α,IL-6,diamine oxidase(DAO),D-lactic acid,and endotoxin(ET)in the study group were lower than those in the control group,while the levels of IL-10,IgG,and total effective rate were higher than those in the control group(P<0.05).The acute physiology and chronic health evaluation Ⅱ(APACHEⅡ)scores of the study group at 3,7,and 14 days after treatment were lower than those of the control group(P<0.05).Conclusion:Magnesium Isoglycyrrhizinate combined with Octreotide can reduce the levels of inflammatory factors and disease severity in patients,and improve the immune function and intestinal mucosal barrier function of patients.
周艺敏;夏国盛;聂永荣
吉安市中心人民医院消化科 江西 吉安 343000吉安市中心人民医院消化科 江西 吉安 343000永丰县人民医院消化科 江西 永丰 331500
异甘草酸镁奥曲肽免疫功能炎症因子水平
Magnesium IsoglycyrrhizinateOctreotideImmune functionInflammatory factor levels
《中国医学创新》 2026 (1)
125-128,4
评论