中西医结合治疗急性重症胰腺炎的临床疗效观察

目的:观察分析中西医结合方式治疗急性重症胰腺炎的临床效果。方法:将2012年3月至2016年3月收治的58例急性重症胰腺炎患者采用随机抽样方式分为对照组和观察组2组,每组患者29例。对照组患者给予抗感染、补液、禁食等西医常规治疗,观察组在对照组基础上增加中药方剂治疗。比较2组患者经过不同方式治疗后,临床指标改善情况、实验室指标改善情况以及治疗有效率、并发症发生率。结果:2组患者经过治疗后,观察组在临床症状改善情况及实验指标改善情况上均优于对照组,观察组总有效率(86.2%)明显高于对照组的总有效率(58.6%),对照组MODS、肾衰竭、腹腔感染、转手术及死亡例数均高于观察组,差异有统计学意义(P0.05)。结论:采用中西医结合治疗急性重症胰腺炎效果优于单纯采用西医治疗的方式,恢复快,疗效好,并发症少,安全有效,值得在急性重症胰腺炎患者的治疗中推广使用。

Clinical Observation of Integrated Traditional Chinese and Western Medicine On Treatment of Severe Acute Pancreatitis

To observe and analyze the clinical effect of integrated traditional Chinese and Western medicine on treatment of acute severe pancreatitis. Methods:From March 2012 to March 2016, 58 cases of acute severe pancreatitis patients were randomly divided into control group and observation group, each of 29 cases. Patients in the control group were given conventional treatment of anti infection, fluid infusion, and fasting, while the observation group was givenall the above treatment as well as traditional Chinese medicine treatment. The two groups of patients were compared, after treatment, in clinical indicators, laboratory indexes and the efficiency of treatment, the incidence of complications. Results:After treatment, the improvement of the observation group in the clinical symptoms and the index are better than that of the control group. For observation group, the total efficiency (86.2%) was significantly higher than that of the control group (58.6%). And compared with the control group, the mods, renal failure, abdominal infection, operation and the number of death cases in the control group were higher than those of the observation group with statistical significance (P<0.05). Conclusion:Integrated Traditional Chinese and Western medicine treatment of severe acute pancreatitis was better than simply using western medicine in aspects of fast recovery, good curative effect, less complications, safety and efficiency, and it worth popularization and application.