生长抑素联合中药胰炎合剂治疗重症急性胰腺炎效果观察.docVIP

精品论文 参考文献 生长抑素联合中药胰炎合剂治疗重症急性胰腺炎效果观察 （宜宾骨科医院急诊科 四川 宜宾 644000） 【摘要】 目的：探讨生长抑素联合中药胰炎合剂治疗重症急性胰腺炎的疗效。方法：将86例重症急性胰腺炎患者随机分为治疗组和对照组,各组43例。对照组予以生长抑素治疗，治疗组予以生长抑素联合中药胰炎合剂治疗。比较两组治疗前后临床指标、临床症状改善情况、疗效及不良反应情况。 结果：治疗后,治疗组乳酸脱氢酶（LDH）、门冬氨酸氨基转移酶（AST）、血淀粉酶(AMS)、C反应蛋白(CRP)水平，APACHEⅡ评分低于对照组（Plt;0.05）；治疗组白蛋白（ALB）高于对照组（Plt;0.05）；治疗组临床症状和指标恢复及呼吸机撤离时间早于对照组（Plt;0.05）；治疗组住院时间短于对照组（Plt;0.05）；治疗组有效率高于对照组（Plt;0.05）；治疗组不良反应发生率低于对照组（Plt;0.05）。 结论：对重症急性胰腺炎患者予以生长抑素联合中药胰炎合剂治疗可明显改善症状体征，减轻炎症反应，减少不良反应少。 【关键词】 生长抑素；中药胰炎合剂；重症急性胰腺炎；临床疗效 【中图分类号】R576 【文献标识码】A 【文章编号】2095-1752（2016）32-0073-02 Observation of therapeutic effect of somatostatin combined with traditional Chinese medicine mixture in the treatment of severe acute pancreatitis Chen Baisong. Department of Emergency, the orthopaedics hospital in Yibin Sichuan Sichuan Yibin 64000,China 【Abstract】Objective To explore the therapeutic effect of somatostatin combined with traditional Chinese medicine mixture in the treatment of severe acute pancreatitis. Method 86 cases of severe acute pancreatitis were randomly divided into two groups: treatment group and control group, 43 cases in each group. Compared the two groups before and after the treatment of clinical indicators, clinical symptoms improvement, efficacy and adverse reactions. Result After treatment, Treatment group of lactate dehydrogenase (LDH), aspartic acid amino transferase (AST), serum amylase (AMS), endotoxin and C-reactive protein (CRP) level and APACHE II score lower than the control group(Plt;0.05); Albumin (ALB) in treatment group was higher than that in control group (Plt;0.05); The treatment group, abdominal pain and abdominal distension, blood and urine amylase recovery, gastrointestinal function recovery, abdominal tenderness disappeared, exhaust recovery, AMP recovery and ventilator weaning time was earlier than the control group(Plt;0.05); The significant efficiency and total effective rate in treatment gro