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目的:探讨中西医结合与单纯西医常规治疗方法对重症急性胰腺炎的效果。方法:对48例非手术重症急性胰炎患者进行随机分组,对照组采用常规治疗,中西结合治疗组在常规治疗的基础上采用大柴胡汤加减方水煎后从胃管注入并闭管2~3h,每天2剂,7~10天为1个疗程。结果:48例中显效15例,有效28例,无效5例,总有效率为89.58%。其中结合组较对照组的治疗有效率高(95.83%∶83.33%,P<0.05);结合组较对照组腹痛缓解时间短(14.15天∶27.13天,P<0.05);肠功能恢复快(2.45天∶5.17天,P<0.05);淀粉酶恢复时间短(4.53天∶6.51天,P<0.05);住院日缩短(22.32天∶30.22天,P<0.05);并发症减少(25.00%∶54.17%,P<0.05);病死率低(4.17%∶16.67%,P<0.05)。结论:中西医结合治疗重症急性胰腺炎较单纯西医治疗疗效显著。
Objective: To explore the effect of traditional Chinese and western medicine combined with western medicine routine treatment on severe acute pancreatitis. Methods: Forty-eight patients with non-surgical severe acute pancreatitis were randomly divided into two groups. The control group was treated with conventional therapy. The combination of Chinese and western medicine group was treated with decoction of Dachaihu Decoction and water decoction, 3h, 2 doses a day, 7 to 10 days for a course of treatment. Results: In 48 cases, 15 cases were markedly effective, 28 cases were effective and 5 cases were ineffective. The total effective rate was 89.58%. (95.83% vs 83.33%, P <0.05). The pain relief time of the combination group was shorter than that of the control group (14.15 days: 27.13 days, P <0.05), and the recovery of intestinal function was faster (2.45 (4.53 days: 6.51 days, P <0.05); hospitalization days were shortened (22.32 days: 30.22 days, P <0.05); complications were reduced (25.00%: 54.17 %, P <0.05). The mortality was low (4.17%: 16.67%, P <0.05). Conclusion: The treatment of severe acute pancreatitis by traditional Chinese and western medicine is more effective than western medicine alone.