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目的:观察西医常规联合中药治疗轻型急性胆源性胰腺炎(Mild Acute Biliary Pancreatitis,MABP)的临床疗效。方法:将南京市中医院、江苏省中医院和江苏省人民医院2010年4月~2011年2月收治的符合病例标准的40例MABP患者,随机分成对照组和治疗组各20例,对照组采用西医常规治疗,治疗组在对照组的基础上加用中药治疗,对比观察两组患者血尿淀粉酶的变化情况。结果:(1)治疗前和治疗后24h和48h,治疗组血淀粉酶与对照组差异没有显著性,P>0.05;在治疗后72h,治疗组与对照组差异有显著性,P<0.05。(2)治疗前和治疗后1天治疗组尿淀粉酶与对照组差异没有显著性,P>0.05;在治疗后3天和7天,治疗组与对照组差异有显著性,P<0.05。结论:中药汤剂联合西药治疗MABP具有优势,值得临床推广。
Objective: To observe the clinical efficacy of traditional Chinese medicine combined with traditional Chinese medicine in the treatment of Mild Acute Biliary Pancreatitis (MABP). Methods: Forty patients with MABP who were admitted to Nanjing Hospital of Traditional Chinese Medicine, Jiangsu Provincial Hospital of Traditional Chinese Medicine and Jiangsu Provincial People’s Hospital from April 2010 to February 2011 were randomly divided into control group and treatment group, with 20 cases in each group. The control group Western conventional treatment, the treatment group in the control group based on the use of traditional Chinese medicine treatment, comparing the two groups of patients with changes in blood and urine amylase. Results: (1) Before treatment and at 24h and 48h after treatment, there was no significant difference between the treatment group and the control group (P> 0.05). At 72h after treatment, there was significant difference between the treatment group and the control group (P <0.05). (2) Before treatment and 1 day after treatment, there was no significant difference in urinary amylase between the treatment group and the control group, P> 0.05; at 3 days and 7 days after treatment, the difference between the treatment group and the control group was significant (P <0.05). Conclusion: Chinese herbal decoction combined with Western medicine has the advantage of MABP, which is worthy of clinical promotion.