论文部分内容阅读
目的:探讨中药清胰汤配合常规西药治疗重症急性胰腺炎的临床疗效。方法:将50例重症急性胰腺炎患者随机分为治疗组和对照组各25例,对照组给予西医常规对症治疗,治疗组在对照组治疗基础上加用中药清胰汤从鼻饲管注入治疗。7d为1个疗程,根据病情连用1~2个疗程后,分别观察两组患者平均腹胀腹痛消失时间、肠道功能恢复时间、血淀粉酶改善情况、平均住院时间、住院总费用以及急性生理学和慢性健康状态评分系统Ⅱ(APACHEⅡ)评分变化。结果:治疗组腹胀腹痛消失时间、肠道功能恢复时间、血淀粉酶下降时间、APACHEⅡ评分下降时间以及住院时间较对照组更短,住院费用更低,两组比较差异具有统计学意义(P<0.05)。结论:采用中药清胰汤联合常规西药治疗重症急性胰腺炎,能显著提高治疗效果,缩短住院时间,降低住院费用,提高患者生活质量,值得推广。
Objective: To investigate the clinical efficacy of Qingyi Decoction combined with conventional western medicine in the treatment of severe acute pancreatitis. Methods: Fifty patients with severe acute pancreatitis were randomly divided into treatment group (25 cases) and control group (25 cases). The control group was given routine western medicine symptomatic treatment. The treatment group was treated with traditional Chinese medicine Qingyi Decoction on the basis of the control group. 7d for a course of treatment, according to the condition used in conjunction 1 to 2 courses, were observed in two groups of patients with abdominal distension abdominal pain disappear time, recovery of intestinal function, improvement of blood amylase, average length of stay, total cost of hospitalization and acute physiology and Chronic Health Status Scoring System Ⅱ (APACHE Ⅱ) score changes. Results: The disappearance time of abdominal distension and abdomen, recovery time of intestinal function, blood amylase descent time, APACHEⅡscore decline time and hospitalization time of the treatment group were shorter than those of the control group, and the hospitalization expenses were lower. The differences between the two groups were statistically significant (P < 0.05). Conclusion: The treatment of severe acute pancreatitis with traditional Chinese medicine Qingyi Decoction combined with conventional western medicine can significantly improve the treatment effect, shorten the hospitalization time, reduce the cost of hospitalization and improve the quality of life of patients, which deserves promotion.