Objective To investigate the clinical effect of the combination of somatostatin and multidisciplinary collaborative on-demand intervention on patients with acute pancreatitis (AP).
Methods AP patients admitted to department of gastroenterology of Hangzhou First People’ s Hospital were selected from January 2020 to January 2025, and were categorized into the control group (somatostatin combined with routine intervention) and the observation group (somatostatin combined with multidisciplinary collaborative on-demand intervention). The clinical efficacy, pancreatic injury markers [serum amylase (AMY), lipase (LPS)], inflammation-related indicators [interleukin-18 (IL-18), interleukin-6 (IL-6), C-reactive protein (CRP)], organ function indicators [blood urea nitrogen (BUN), creatinine (Cr), total bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), blood lactic acid (Lac)], AP-related complications and adverse drug reactions were compared between both groups.
Results A total of 120 AP patients were included, with 60 patients in each group. After treatment, the total clinical effective rate in the observation group was higher compared to the control group (93.33% vs. 80.00%, P<0.05). The levels of AMY, LPS, IL-18, IL-6, CRP, BUN, Cr, total bilirubin, ALT, AST and Lac in the two groups were decreased compared with those before treatment (P<0.05), and the observation group had lower levels (P<0.05). The incidence rates of AP-related complications and adverse drug reactions exhibited no significant differences between the two groups (P>0.05).
Conclusion Somatostatin combined with multidisciplinary collaborative on-demand intervention has significant clinical efficacy in the treatment of AP. Additionally, it can relieve the pancreatic injury and inflammatory response, and improve the organ function.
1.Tenner S, Vege SS, Sheth SG, et al. American college of gastroenterology guidelines: management of acute pancreatitis[J]. Am J Gastroenterol, 2024, 119(3): 419-437. DOI: 10.14309/ajg.0000000000002645.
2.Iannuzzi JP, King JA, Leong JH, et al. Global incidence of acute pancreatitis is increasing over time: a systematic review and meta-analysis[J]. Gastroenterology, 2022, 162(1): 122-134. DOI: 10.1053/j.gastro.2021.09.043.
3.安莹, 王宏, 闫铁静. 中药口服与保留灌肠联合生长抑素在高脂血症性重症急性胰腺炎中应用[J]. 辽宁中医杂志, 2023, 50(11): 99-102. [An Y, Wang H, Yan TJ. Application of oral administration of traditional Chinese medicine combined with retention enema and somatostatin in hyperlipidemic severe acute pancreatitis[J]. Liaoning Journal of Traditional Chinese Medicine, 2023, 50(11): 99-102.] DOI: 10.13192/j.issn.1000-1719.2023.11.027.
4.He W, Zhang Z, Cai W, et al. Defined, low threshold for caesarean section and multidisciplinary team management improves fetal outcome from acute pancreatitis in pregnancy[J]. Pancreatology, 2023, 23(5): 473-480. DOI: 10.1016/j.pan.2023.05.009.
5.陈法喜, 丁自超, 张建峰, 等. 多学科非手术诊治重症急性胰腺炎合并多发消化道瘘[J]. 医学研究生学报, 2021, 34(8): 853-855. [Chen FX, Ding ZC, Zhang JF, et al. Multidisciplinary non-surgical diagnosis and treatment of severe acute pancreatitis complicated with multiple digestive tract fistulas[J]. Journal of Medical Research & Combat Trauma Care, 2021, 34(8): 853-855.] DOI: 10.16571/j.cnki.1008-8199.2021.08.013.
6.Choi JY, Rajaguru V, Shin J, et al. Comprehensive geriatric assessment and multidisciplinary team interventions for hospitalized older adults: a scoping review[J]. Arch Gerontol Geriatr, 2023, 104: 104831. DOI: 10.1016/j.archger.2022.104831.
7.中华医学会外科学分会胰腺外科学组. 中国急性胰腺炎诊治指南(2021)[J]. 中华外科杂志, 2021, 59(7): 578-587. [Pancreatic Surgery Group, Surgery branch of Chinese medical association Chinese. Guidelines for diagnosis and treatment of acute pancreatitis in China (2021)[J]. Chinese Journal of Surgery, 2021, 59(7): 578-587.] DOI: 10.3760/cma.j.cn112139-20210416-00172.
8.Haq IU, Daud M, Khan MA, et al. Impact of serum triglyceride levels on severity and outcomes in acute biliary pancreatitis: a retrospective cohort study[J]. Cureus, 2024, 16(8): e65928. DOI: 10.7759/cureus.65928.
9.龙榕芳. 探讨基于多学科诊疗理念的综合治疗在重症急性胰腺炎处理的应用[J]. 临床普外科电子杂志, 2020, 8(4): 1205.[Long RF. Exploring the application of aomprehensive treatment based on multidisciplinary diagnosis and treatment concepts in the management of severe acute pancreatitis[J]. Electronic Journal of Clinical General Surgery, 2020, 8(4): 1205.] https://www.zhangqiaokeyan.com/academic-journal-cn_journal-general-surgery-clinicians-electronic-version_thesis/0201289172757.html.
10.Kaur H, Chandran VP, Rashid M, et al. The significance of APACHE II as a predictor of mortality in paraquat poisoning: a systematic review and meta-analysis[J]. J Forensic Leg Med, 2023, 97: 102548. DOI: 10.1016/j.jflm.2023.102548.
11.姚笑鹰, 檀占海, 陈建荣, 等. 益生菌联合肠内营养支持治疗对重症急性胰腺炎患者肠道菌群、淀粉酶、人乳脂球表皮生长因子8水平的影响[J]. 中华实验外科杂志, 2025, 42(1): 45-47. [Yao XY, Tan ZH, Chen JR, et al. Effects of probiotics combined with enteral nutrition support treatment on intestinal flora, amylase and human milk fat globule epidermal growth factor 8 levels in patients with severe acute pancreatitis[J]. Chinese Journal of Experimental Surgery, 2025, 42(1): 45-47.] DOI: 10.3760/cma.j.cn421213-20240925-00725.
12.Zerem E, Kurtcehajic A, Kunosić S, et al. Current trends in acute pancreatitis: diagnostic and therapeutic challenges[J]. World J Gastroenterol, 2023, 29(18): 2747-2763. DOI: 10.3748/wjg.v29.i18.2747.
13.Dike CR, Sellers ZM, Husain SZ, et al. Multidisciplinary approach to the care of children with acute recurrent pancreatitis and chronic pancreatitis[J]. Pancreas, 2022, 51(3): 256-260. DOI: 10.1097/MPA.0000000000002008.
14.刘静. 多学科协作诊疗模式对老年重症急性胰腺炎合并肾衰竭患者预后的影响[J]. 中国老年学杂志, 2021, 41(2): 311-315. [Liu J. The impact of multidisciplinary collaborative diagnosis and treatment model on the prognosis of elderly patients with severe acute pancreatitis complicated with renal failure[J]. Chinese Journal of Gerontology, 2021, 41(2): 311-315.]DOI: 10.3969/j.issn.1005-9202.2021.02.026.
15.Ben-Ami Shor D, Ritter E, Borkovsky T, et al. The multidisciplinary approach to acute necrotizing pancreatitis[J]. J Clin Med, 2025, 14(9): 2904. DOI: 10.3390/jcm14092904.
16.屠冬英, 杨丽红, 王玲, 等. 多学科团队协作模式下的延续护理对急性胰腺炎病人健康行为能力和生活质量的影响[J]. 护理研究, 2022, 36(2): 317-321. [Tu DY, Yang LH, Wang L, et al. Effect of continuous nursing under the cooperation mode of multidisciplinary team on health practices abilities and quality of life of patients with acute pancreatitis[J]. Chinese Nursing Research, 2022, 36(2): 317-321.] DOI: 10.12102/j.issn.1009-6493.2022.02.025.
17.汪东霞, 王蓉, 葛万里. 多学科协作延续护理联合早期肠内营养对重症急性胰腺炎合并ICU获得性衰弱患者的效果观察[J]. 中国急救复苏与灾害医学杂志, 2024, 19(12): 1643-1647. [Wang DX, Wang R, Ge WL. Observation on the effect of multidisciplinary collaborative continuing care combined with early enteral nutrition on patients with severe acute pancreatitis complicated with ICU acquired wekaness[J]. China Journal of Emergency Resuscitation and Disaster Medicine, 2024, 19(12): 1643-1647.] DOI: 10.3969/j.issn.1673-6966.2024.12.025.
18.白睿, 鲁天麒, 孙备. 急性胰腺炎外科干预策略的演变与进展[J]. 中华外科杂志, 2023, 61(7): 556-561. [Bai R, Lu TQ, Sun B. Evolution and progress of surgical intervention strategies for acute pancreatitis[J]. Zhonghua Wai Ke Za Zhi, 2023, 61(7): 556-561.] DOI: 10.3760/cma.j.cn112139-20221209-00520.
19.冯燕, 常婧, 黄凡. N-MDT诊疗模式在急性胰腺炎患者肠内营养管理中的应用[J]. 海南医学, 2023, 34(18): 2726-2731. [Feng Y, Chang J, Huang F. Application of nurse-led multidisciplinary team diagnosis and treatment model in enteral nutrition management in patients with acute pancreatitis[J]. Hainan Medical Journal, 2023, 34(18): 2726-2731.] DOI: 10.3969/j.issn.1003-6350.2023.18.032.