摘要
目的探讨中西医结合治疗急性胰腺炎(AP)的疗效。方法对本院2006年7月至2009年7月收治的65例AP患者,其中31例给予常规疗法(对照组):常规禁食及持续胃肠减压、胰酶抑制剂及对症支持治疗;另34例在常规疗法的基础上加用中医治疗(中西医结合组)。比较两组患者治疗后的疗效。结果治疗后中西医结合组显效20例,有效12例,无效2例;对照组显效9例,有效16例,无效6例,两组患者临床疗效间差异有统计学意义(P<0.01)。治疗后7d,中西医结合组患者白细胞计数及血糖、血淀粉酶、尿淀粉酶水平均显著低于对照组,差异均有统计学意义(P<0.01)。中西医结合组患者腹胀、腹痛、呕吐、恶心、发热缓解时间均早于对照组,两组间差异亦均有统计学意义(P<0.01)。结论中西医结合治疗AP的疗效优于单纯西医治疗,能尽早改善患者临床症状,值得临床推广。
Objective To study the therapeutic effect on combined treatment of Chinese and Western medicine to acute pancreatitis（AP）.Methods From July 2006 to July 2009 accepted 65 cases with AP,31 cases were treated with conventional therapy（control group）：normal fasting and continuous gastrointestinal decompression,trypsin inhibitors and symptomatic supportive care; the other 34 cases on the basis of conventional therapy added treatment using traditional Chinese medicine（TCM combined group）.To Compare the efficacy of two groups after treatment.Results During the TCM combined group,20 cases were excellent,12 cases were effective,2 cases were invalid; During the control group,9 cases were excellent,16 cases were effective,6 cases were invalid,the clinical efficacy difference between the two groups was statistically significant（P〈0.01）.After treatment 7 d,the white blood cell count,blood sugar,blood amylase,urine amylase,endotoxin of the TCM combined group were significantly lower than those in the control group,the differences were statistically significant（P〈0.01）.The abdominal distension,abdominal pain,vomiting,nausea,fever,ease time of the TCM combined group were better than those in the control group,differences between the two groups were also statistically significant（P〈0.01）.Conclusion The combined treatment of Chinese and Western medicine was better than western medicine treatment to AP,can relieve clinical symptoms earlier,was worthy to be popularized.
出处
《医学综述》
2010年第7期1112-1113,共2页
Medical Recapitulate
关键词
急性胰腺炎
胃肠减压
胰酶抑制剂
白细胞计数
Acute pancreatitis； Gastrointestinal decompression； Trypsin inhibitors； White blood cell count
