中西结合治疗急性重症胰腺炎疗效观察

目的：探讨中西医结合与单纯西医常规治疗方法对重症急性胰腺炎的效果。方法：对48例非手术重症急性胰炎患者进行随机分组,对照组采用常规治疗,中西结合治疗组在常规治疗的基础上采用大柴胡汤加减方水煎后从胃管注入并闭管23h,每天2剂,710天为1个疗程。结果：48例中显效15例,有效28例,无效5例,总有效率为89.58%。其中结合组较对照组的治疗有效率高（95.83%∶83.33%,P〈0.05）;结合组较对照组腹痛缓解时间短（14.15天∶27.13天,P〈0.05）;肠功能恢复快（2.45天∶5.17天,P〈0.05）;淀粉酶恢复时间短（4.53天∶6.51天,P〈0.05）;住院日缩短（22.32天∶30.22天,P〈0.05）;并发症减少（25.00%∶54.17%,P〈0.05）;病死率低（4.17%∶16.67%,P〈0.05）。结论：中西医结合治疗重症急性胰腺炎较单纯西医治疗疗效显著。

Observation on Application of Combined Traditional Chinese and Western Medicine to Treat Severe Acute Pancreatitis

Objective：Integrative Medicine with conventional Western treatment alone on the effects of severe acute pancreatitis.Methods：48 patients with non-surgical patients with severe acute pancreatitis randomized control group with conventional therapy,Chinese and western medicine group were treated based on the use of Dachaihu T ang injected from the tube and closed tube 23h,day 2,7 to 10 days for a course of treatment.Results：48 cases 15 cases markedly effective in 28 cases,ineffective in 5 cases,the total effective Rate of 89.58%.Which binds to the treatment group than in the control group the effective rate（95.83%：83.33%,P〈0.05）;with abdominal pain group than in the control group a short time（14.15d：27.13d,P〈0.05）;rapid recovery of intestinal function（2.45d：5.17d,P〈0.05）;Blood amylase resumed is shortened（4.53d：6.51d,P〈0.05）;Hospitalization time shortened（22.32d：30.22d,P〈0.05）;complications decreased（25.00%：54.17%,P〈0.05）;mortality is low（4.17%：16.67%,P〈0.05）.Conclusion：Compared with western medicine,integrative treatment of severe acute pancreatitis has a more significant effect.