中国热带医学2014年第14卷第08期China Tropical Medicine,August2014,,·短篇论著·中西医联合治疗重症急性胰腺炎临床疗效分析吴刚海南省边防总队医院,海南海口570208摘要:目的探讨中西医联合治疗重症急性胰腺炎的疗效。方法对收集113例重症急性胰腺炎患者随机分为治疗组和对照组,治疗组63例重症胰腺炎在常规治疗基础上与中药(清胰承气汤)联合治疗,检测治疗组治疗前后血淀粉酶、血脂肪酶、血乳酸,并比较治疗组与对照组的临床症状及临床疗效。结果治疗组治疗后血淀粉酶、脂肪酶、乳酸、尿素氮、肌酐较治疗前明显降低,差异有统计学意义(t=,,,,,P均<);治疗组在腹痛、腹胀消失时间、第1次通便时间、住院天数及治疗费用方面与对照组比较差异均具有统计学意义(t=-,-,-,P<);两组治疗前后疗效相比(χ=,P=<)。结论中西医联合治疗重症急性胰腺炎能有效改善临床症状和提高总有效率。关键词:重症急性胰腺炎;中西医联合治疗;清胰承气汤中图分类号:R576文献标识码:A文章编号:1009-9727(2014)8-1009-03Efficacy of traditional Chinese bined with western medicine in treatmentof severe acute pancreatitisWUGangHainan Frontier Corps Hospital, Haikou570208, Hainan, P. R. ChinaAbstract: ObjectiveTo evaluate the efficacy of traditional Chinese bined with western therapy intreatment of patients with severe acute with severe acute pancreatitis were dividedinto treatment group and control group. Based on the conventional therapy, Chinese medicine (Qingyichengqi Soup) wasadditionally given to63patients with severe acute pancreatitis. Serum amylase, lipase, lactic acid, urea nitrogen, and creatininewere detected before and after treatment. The clinical efficacy and symptoms in two groups of serum amylase, lipase, lactic acid, urea nitrogen, creatinine after treatment was significantly
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