Effect of hemoperfusion plus hemofiltration in patients with hyperlipidemic pancreatitis
10.3760/cma.j.issn.1007-8118.2014.04.010
- VernacularTitle:血液灌流联合血液滤过治疗高脂血症性胰腺炎的效果观察
- Author:
Yuanchao ZHANG
;
Li YU
;
Feng GENG
;
Wei LIU
- Publication Type:Journal Article
- Keywords:
Pancreatitis,hyperlipidemic;
Hemoperfusion;
Hemofiltration
- From:
Chinese Journal of Hepatobiliary Surgery
2014;20(4):274-276
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of different blood purification modes on patients with hyperlipidemic pancreatitis (HLP).Methods 28 patients with HLP in our department were enrolled into this study from January 2010 to June 2013.The patients were randomly divided into the HP/CVVH group (15 patients) and CVVH group (13 patients).The clinical symptoms and signs of the two groups were observed.The plasma levels of TNF-α,IL-6,IL-8,blood triglyceride and APACHE Ⅱ score before and after treatment were compared between the two groups.The duration of mechanical ventilation,ICU stay and mortality rate were compared between the two groups.Results The clinical symptoms improved in the two groups after treatment.The plasma levels of TNF-α,IL-6,IL-8,blood triglyceride and APACHE Ⅱ score were all reduced.However,the plasma levels of TNF-o,IL-6,IL-8,blood triglyceride and APACHE Ⅱ score in the HP/CVVH group were lower than the CVVH group at the same time points,showing significant differences (P ＜ 0.05).The duration of mechanical ventilation,ICU stay and mortality rate decreased in the HP/CVVH group (P ＜ 0.05).Conclusions HP/CVVH was more efficacious in the treatment of HLP.
