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目的:观察中西医结合治疗急性胆源性胰腺炎的临床疗效。方法:将104例急性胆源性胰腺炎患者分为治疗组和对照组各52例。两组均予常规西医治疗,治疗组在此基础上加用大柴胡汤加减方。治疗两周后观察患者的疗效及血液指标变化情况。结果:经2周治疗后,治疗组总有效率为86.5%,对照组总有效率为67.3%,治疗组优于对照组,差异有统计学意义(P<0.05);治疗组治疗后3 d及5 d时血清淀粉酶、总胆红素、谷氨酸转氨酶、碱性磷酸酶、血总胆红素、谷氨酸转氨酶及碱性磷酸酶水平显著低于对照组(P<0.05)。结论:常规西医联合大柴胡汤加减方治疗急性胆源性胰腺炎有较好的疗效。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of acute gallstone pancreatitis. Methods: 104 cases of acute gallstone pancreatitis were divided into treatment group and control group of 52 cases. Both groups were given conventional Western medicine treatment group based on the addition of Dachaihu Decoction. After two weeks of treatment, the curative effect and changes of blood indexes were observed. Results: After 2 weeks of treatment, the total effective rate was 86.5% in the treatment group and 67.3% in the control group. The treatment group was superior to the control group with statistically significant difference (P <0.05) Serum amylase, total bilirubin, glutamic-pyruvic transaminase, alkaline phosphatase, total serum bilirubin, glutamate aminotransferase and alkaline phosphatase were significantly lower than those of the control group on the 5th day (P <0.05). Conclusion: Conventional Western medicine combined with Dachaihu Decoction in the treatment of acute gallstone pancreatitis has a good effect.