论文部分内容阅读
目的观察中医四联疗法结合西医治疗重症急性胰腺炎(SAP)的临床疗效。方法将68例SAP患者随机分为2组,对照组32例给予常规西医治疗,治疗组36例在对照组基础上加用中医四联疗法(应用胃管注入复方清胰汤、大承气汤灌肠、吴茱萸封包外敷腹部、维生素B1双侧足三里穴位注射),分别观察2组患者腹痛、腹胀、发热消失时间、首次排便时间及血淀粉酶、血脂肪酶、C反应蛋白(CRP)恢复正常时间、禁食时间、住院时间,统计并发症发生率、转手术率及病死率。结果治疗组腹痛、腹胀、发热消失时间、首次排便时间及血淀粉酶、血脂肪酶、CRP恢复正常时间、禁食时间、住院时间均明显短于对照组(P<0.05);治疗组并发症发生率、转手术率、病死率均明显低于对照组(P<0.05)。结论中医四联疗法结合西医治疗SAP能减少并发症和转手术率,缩短住院时间,降低病死率,疗效满意。
Objective To observe the clinical curative effect of traditional Chinese medicine quadruple therapy combined with western medicine in treating severe acute pancreatitis (SAP). Methods Sixty-eight SAP patients were randomly divided into two groups. The control group was given routine western medicine treatment. The treatment group was given 36 cases of traditional Chinese medicine quadruple therapy on the basis of the control group Enema, Evodia capsule applied to the abdomen, vitamin B1 bilateral Zusanli point injection) were observed in two groups of patients with abdominal pain, abdominal distension, disappearance of fever, first defecation time and blood amylase, lipase, C-reactive protein (CRP) Time, fasting time, length of hospital stay, incidence of statistical complication, rate of surgery and mortality. Results The abdominal pain, abdominal distension, the disappearance of fever, the first defecation time and the serum amylase, blood lipase, CRP recovery time, fasting time and length of hospital stay in the treatment group were significantly shorter than those in the control group (P <0.05) The incidence, the rate of surgery and the mortality were significantly lower than those of the control group (P <0.05). Conclusion TCM quadruple therapy combined with Western medicine can reduce the complications and the rate of operation, shorten the hospital stay and reduce the mortality, and the curative effect is satisfactory.