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目的观察中西医结合方法治疗急性水肿型胰腺炎恢复期持续性胰酶升高的临床疗效。方法将26例急性水肿型胰腺炎恢复期持续性胰酶升高患者随机分为2组,对照组给予抑制胰液分泌、抗炎等西医治疗,治疗组在对照组基础上加服以大黄为君药的中药煎剂治疗。结果治疗组血淀粉酶、尿淀粉酶、血脂肪酶恢复正常时间分别为(12.11±2.09)d、(16.72±2.95)d、(16.32±3.17)d,较对照组(16.70±3.00)d、(20.50±3.74)d、(22.08±3.30)d均明显缩短,P<0.05,差别有统计学意义。结论中西医结合治疗急性水肿型胰腺炎恢复期持续性胰酶升高较单纯西医治疗效果好。
Objective To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of persistent pancreatitis in recovery of acute edematous pancreatitis. Methods Twenty-six patients with persistent pancreatitis induced by recovery of acute edematous pancreatitis were randomly divided into two groups. The control group was given western medicine to inhibit the secretion of pancreatic juice and anti-inflammatory. The treatment group was served with rhubarb on the basis of the control group Herbal medicine decoction treatment. Results The recovery time of serum amylase, urinary amylase and lipase in the treatment group were (12.11 ± 2.09) d and (16.72 ± 2.95) days, respectively (16.32 ± 3.17) d, which were significantly higher than those in the control group (16.70 ± 3.00) d, (20.50 ± 3.74) d, (22.08 ± 3.30) d were significantly shorter, P <0.05, the difference was statistically significant. Conclusion Integrative Chinese and Western medicine treatment of acute edematous pancreatitis in the recovery of persistent pancreatic enzyme therapy is better than Western medicine alone.