为探讨中西医结合治疗重症急性胰腺炎的临床疗效 ,4 3例重症急性胰腺炎患者随机分为西医组 ( 2 3例 )和中西医结合组 ( 2 0例 ) ,分别观察比较两组患者腹胀、腹痛和腹膜刺激征缓解的时间、第一次排大便和住院时间、并发症、病死率。结果 :中西医结合组的症状和体征的缓解时间和第一次排大便及住院时间均短于西医组 (P <0 .0 1) ;并发症的发生率和病死率均低于西医组 (P <0 .0 1)。提示及时有效地采用中西医结合治疗重症急性胰腺炎 ,可迅速减轻临床症状 ,降低并发症的发生率和病死率 ,缩短住院时间 ,降低医疗费用 In order to explore the clinical curative effect of Integrative Medicine on severe acute pancreatitis, 43 patients with severe acute pancreatitis were randomly divided into Western medicine group (23 cases) and Integrative Chinese medicine group (20 cases) , Abdominal pain and peritoneal irritation levy relief time, the first row of stool and hospital stay, complications, mortality. Results: The time of symptom and symptom relief and the first row of stool and hospital stay in Integrative Medicine Group were shorter than those in Western Medicine Group (P <0.01). The incidence of complication and mortality were lower than those in Western medicine group P <0 .0 1). Prompt timely and effective use of integrated traditional Chinese and Western medicine treatment of severe acute pancreatitis, can quickly reduce clinical symptoms, reduce the incidence of complications and mortality, shorten the hospital stay and reduce medical costs