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[目的]探讨中西医结合治疗对急性重症胰腺炎(SAP)预后的影响。[方法]76例SAP患者随机分成观察组53例,对照组23例。观察组采用西药加中药清胰汤,对照组仅予西药治疗,观察2组患者入院后腹泻开始时间及次数、腹部体征、症状改善情况与住院时间、预后的关系。[结果]观察组临床症状及体征缓解时间、住院时间明显短于对照组(P<0.05);全身炎症反应综合征(SIRS)、多脏器功能障碍综合征(MODS)病死率亦低于对照组(P<0.05);观察组中7例死亡,对照组6例死亡。[结论]中西医结合治疗SAP可阻止病情的进一步发展,减少并发症和缩短住院时间,改善预后,腹泻时间越早,预后越好。
[Objective] To explore the effect of integrated traditional Chinese and western medicine on the prognosis of acute severe pancreatitis (SAP). [Methods] 76 patients with SAP were randomly divided into observation group (53 cases) and control group (23 cases). The observation group was treated with western medicine plus Qingyi Decoction and the control group with Western medicine only. The onset time and frequency of diarrhea, abdominal signs and symptoms, admission time and prognosis in the two groups were observed. [Results] The clinical symptom, symptom relief time and hospital stay in the observation group were significantly shorter than those in the control group (P <0.05). The mortality rates of systemic inflammatory response syndrome (SIRS) and multiple organ dysfunction syndrome (MODS) Group (P <0.05). In the observation group, 7 patients died and 6 patients died in the control group. [Conclusion] The combination of TCM and Western medicine can prevent the further development of the disease, reduce complications and shorten the hospital stay and improve the prognosis. The earlier the diarrhea, the better the prognosis.