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目的:探讨重症急性胰腺炎(SAP)的治疗方法。方法:选择76例SAP患者,随机分成两组,一组给予常规治疗,另一组在常规治疗基础上给予大黄、地塞米松及654-2联合治疗。结果:常规治疗组患者胃肠功能恢复时间、发病后至开始进食的时间、并发症发生率、病死率及住院费用等方面均高出三药联用组(P<0.05)。结论:大黄、地塞米松及654-2联用是治疗SAP的理想方法。
Objective: To investigate the treatment of severe acute pancreatitis (SAP). Methods: A total of 76 patients with SAP were randomly divided into two groups. One group received routine treatment and the other group received rhubarb, dexamethasone and 654-2 combined therapy on the basis of routine treatment. Results: The recovery time of gastrointestinal function, the time from the onset of illness to the start of eating, the complication rate, the mortality rate and the cost of hospitalization were all higher in the conventional treatment group than those in the triple therapy group (P <0.05). Conclusion: Rhubarb, dexamethasone and 654-2 are ideal for the treatment of SAP.