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目的:观察与探讨中西医结合治疗老年人急性胰腺炎的临床应用与价值。方法:将42例老年患者随机分为2组各21例,对照组予常规西药治疗,观察组在对照组治疗基础上加大黄、参芎注射液治疗,比较2组临床疗效及平均住院时间。结果:临床疗效总有效率观察组为95.2%,对照组为76.2%,2组总有效率比较,差异有显著性意义(P<0.05),提示观察组疗效优于对照组。平均住院时间观察组为(9.0±1.5)天,对照组为(15.0±2.0)天,2组比较,差异有非常显著性意义(P<0.01)。结论:中西医结合治疗能有效防治老年人急性胰腺炎的继续发展,患者预后好,住院时间短。
Objective: To observe and discuss the clinical application and value of integrated traditional Chinese and western medicine in the treatment of acute pancreatitis in the elderly. Methods: Forty-two elderly patients were randomly divided into two groups of 21 patients. The control group was treated with conventional western medicine. The observation group was treated with rhubarb and Shenxiong injection on the basis of the control group. The clinical efficacy and average length of stay in the two groups were compared. Results: The total effective rate of clinical efficacy was 95.2% in the observation group and 76.2% in the control group. The total effective rate in the two groups was significantly different (P <0.05), which indicated that the observation group had better curative effect than the control group. The average duration of hospital stay was (9.0 ± 1.5) days in the control group and (15.0 ± 2.0) days in the control group. There was significant difference between the two groups (P <0.01). Conclusion: Integrative Chinese and Western medicine treatment can effectively prevent and treat the further development of acute pancreatitis in the elderly. The prognosis of the patients is good and the hospitalization time is short.