中西医结合治疗急性胰腺炎临床疗效分析.docVIP

中西医结合治疗急性胰腺炎的临床疗效分析 　　【摘要】 目的 探讨中西医结合治疗急性胰腺炎（AP）的临床疗效。方法 80例AP患者， 随机分为治疗组与对照组， 各40例。对照组给予单纯西医治疗；治疗组在西医治疗基础上给予耳针针灸+清胰汤煎服+大承气汤保留灌肠治疗。比较两组的治疗效果。结果 治疗组治疗总有效率97.5%高于对照组85.0%（P0.05）；治疗组主要指标恢复时间明显优于对照组（P0.05）；入院后第3、5天， 两组患者血淀粉酶、尿淀粉酶、血脂肪酶、C反应蛋白、血白细胞水平均比入院前降低（P0.05）。结论 中西医结合治疗AP临床疗效确切， 可供临床参考与推广。 　　【关键词】 中西医结合；急性胰腺炎；临床疗效 　　DOI：10.14163/j.cnki.11-5547/r.2016.19.013 　　Clinical effect by integrated Chinese and Western medicines in the treatment of acute pancreatitis YANG Song， FENG Wen-can， LIANG Wei-bing. Guangdong Kaiping City Hospital of Traditional Chinese Medicine， Kaiping 529300， China 　　【Abstract】 Objective To investigate clinical effect by integrated Chinese and Western medicines in the treatment of acute pancreatitis （AP）. Methods A total of 80 patients with AP were randomly divided into treatment group and control group， with 40 cases in each group. The control group received Western drug therapy alone， and the treatment group received additional auricular needle + Qingyi decoction + retention enema by Dachengqi decoction. Curative effects were compared between the two groups. Results The treatment group had higher total effective rate as 97.5% than 85.0% of the control group （P0.05）， and its recovery time of main index was obviously better than the control group （P0.05）. In 3 and 5 d of hospitalization， both group had lower blood amylase， urine amylase， blood lipase， C-reactive protein， and white blood cell levels than those before admission （P0.05）. Conclusion Integrated Chinese and Western medicines provide precisely curative effect in treating AP， and this method is worth clinical reference and promotion. 　　【Key words】 Integrated Chinese and Western medicines； Acute pancreatitis； Clinical effect 　　AP是一种常见外科急腹症， 其发病机制与胰酶的激活、炎症介质活化、细胞凋亡等因素有关。近年来AP发病率呈增高趋势， 而该疾病的病死率仍较高， 总体病死率为5%～10%[1]。中药制剂能够降低血管通透性， 进一步抑制巨噬细胞、中性粒细胞活化， 可达到治疗效果， 加速患者康复， 减少并发症发生。作者采用中西医结合的方法对AP进行治疗， 收到较好的疗效， 现报告如下。 　　1 资料与方法 　　1. 1 一般资料 选取2014年5月～2015年5月在本院住院的80例AP患者， 纳入标准：临床上确诊为AP患者， 年龄18～80