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目的:观察中西医结合治疗急性胰腺炎(AP)临床疗效。方法:选择AP 87例,随机分为观察组47例和对照组40例。两组均采用胃肠减压、抗感染、补液、抑酸等常规治疗。观察组在此基础上加用疏肝理气、通里攻下中药汤剂治疗,每次100ml,每天2次,胃管鼻饲,7天为1个疗程。比及两组血淀粉酶水平变化和恢复排气排便、腹痛腹胀消退时间、住院时间,以及手术率、假胰腺囊肿脓肿发生率。结果:两组血淀粉酶水平、恢复排气排便时间、腹痛腹胀消退时间、住院时间以及手术率、假胰腺囊肿脓肿发生率,均差异显著或非常显著(P<0.05,P<0.01)。结论:中西医结合治疗AP能显著促进胃肠道功能恢复,缩短病程,减少并发症的发生。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of acute pancreatitis (AP). Methods: 87 cases of AP were selected and randomly divided into observation group (n = 47) and control group (n = 40). Two groups were used gastrointestinal decompression, anti-infection, rehydration, acid suppression and other conventional treatment. On the basis of the observation group, Shugan qi was used, and Tongli decoction of traditional Chinese medicine decoction was taken. Each 100ml was administered twice a day. The stomach was given nasogastric tube for 7 days for one course of treatment. Compared with the change of blood amylase level and the recovery of exhaust defecation, abdominal pain, abdominal distension and remission time, hospital stay, and the surgical rate, the incidence of false pancreatic cyst abscess. Results: The levels of serum amylase, recovery of exhaust and defecation time, abdominal pain and abdominal distension and remission time, hospitalization time and surgical rate, the incidence of false pancreatic cyst abscess were significantly different (P <0.05, P <0.01). Conclusion: The combination of TCM and Western medicine treatment of AP can significantly promote gastrointestinal function recovery, shorten the course of the disease and reduce the incidence of complications.