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目的观察中西医结合疗法治疗急性胰腺炎的临床疗效。方法将65例急性胰腺炎患者随机分为治疗组(32例)与对照组(33例)。对照组予常规西药治疗,治疗组在对照组治疗措施基础上加服清下化瘀方。两组疗程均为7天,观察临床疗效与并发症情况,比较C-反应蛋白、血钙水平以及胰腺CT评分的变化情况。结果 1治疗组、对照组临床总有效率分别为96.88%和84.85%;组间临床疗效比较,差异有统计学意义(P<0.05)。2组间治疗后比较,CRP与Ca2+水平差异有统计学意义(P<0.05)。3组间治疗后比较,胰腺CT评分差异有统计学意义(P<0.05)。4两组并发症发生率比较,差异有统计学意义(P<0.05)。结论中西医结合疗法治疗急性胰腺炎的疗效满意,可减轻全身炎症反应,降低并发症发生率。
Objective To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of acute pancreatitis. Methods 65 patients with acute pancreatitis were randomly divided into treatment group (32 cases) and control group (33 cases). The control group was treated with conventional western medicine, and the treatment group was given Qingyan Huayu prescription on the basis of the control group. The duration of treatment was 7 days. The clinical efficacy and complications were observed. The changes of C-reactive protein, serum calcium and pancreatic CT score were compared. Results The total clinical effective rates of the treatment group and the control group were 96.88% and 84.85% respectively. There was significant difference between the two groups in clinical efficacy (P <0.05). After treatment, the difference between CRP and Ca2 + levels was statistically significant (P <0.05). Comparing the three groups after treatment, there was significant difference in CT score of pancreas (P <0.05). The incidence of complications between the two groups, the difference was statistically significant (P <0.05). Conclusion Integrative treatment of acute pancreatitis has satisfactory curative effect, can reduce the systemic inflammatory response and reduce the incidence of complications.