摘要
目的研究中西医结合治疗急性胰腺炎的临床疗效。方法将90例急性胰腺炎患者按随机数字表法分为治疗组和对照组各45例,对照组采用予禁食,持续胃肠减压、营养支持,补液、纠正水、电解质紊乱、酸碱平衡失调,抑制胃酸分泌,抑制胰酶分泌等常规治疗,治疗组在对照组治疗基础上加用疏肝解郁、清热泻火、通里攻下中药内服。结果治疗组45例患者痊愈19例,好转22例,无效4例,总有效率91.3%,对照组45例痊愈13例,好转25例,无效7例,总有效率84.6%,两组比较有显著性差异(P<0.05),两组主要观察指标恢复时间比较显示,治疗组腹痛、腹胀和上腹部压痛等症状的恢复时间明显少与对照组,二者差异有显著性(P<0.05),而发热、尿淀粉酶和白细胞指标则无显著性差异(P<0.05)。结论在西医常规治疗基础上加用中药治疗,充分发挥中西医结合治疗急性胰腺炎的优势,可提高临床疗效、缩短疗程,减少并发症,减少西药的副作用,值得进一步的推广。
【Objective】To study the efficiency of traditional Chinese medicine combined with Western medicine on acute pancreatitis.【Methods】A total of 90 cases diagnosed as acute pancreatitis were randomly divided into two groups （45 in each group） by random number chart, control group received regular medical treatment , treatment group received additional traditional Chinese medicine. 【Results】In treatment group19 cases were cured, 22 cases got better and 4 cases had no effect with the total effective rate of 91.3 %; while in control group 13 cases were cured, 25 cases got better and 7 cases had no effect with the total effective rate of 84.6 %. There was obvious difference between two group （P 0.05）. The recovery time of abdominal pain and distention press pain on upper abdomen of treatment group was shorter than that of control group （P 0.05）, while fever, urinary amylase and WBC had no difference between both groups. （P 0.05）. 【Conclusion】Traditional Chinese medicine combined with Western medicine can improve the efficiency on acute pancreatitis, reduce complications
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2010年第4期609-611,共3页
China Journal of Modern Medicine
关键词
急性胰腺炎
中西医结合
综合治疗
acute pancreatitis
traditional Chinese medicine combined with Western medicine
