腹腔镜胆囊切除术联合清胰汤治疗早期胆源性胰腺炎的临床效果分析

发布时间：2018-05-27 20:31

本文选题：胆源性胰腺炎 + 腹腔镜胆囊切除术　；参考：《辽宁中医杂志》2017年08期

【摘要】：目的:探讨腹腔镜胆囊切除术联合清胰汤治疗早期胆源性胰腺炎的临床效果分析。方法:选取2011年3月—2016年3月本院收治的早期胆源性胰腺炎患者102例,随机分为观察组与对照组,对照组患者单纯给予腹腔镜胆囊切除术治疗,观察组给予腹腔镜胆囊切除术联合清胰汤治疗,治疗结束后对两组患者的临床疗效进行评价对比,并对两组患者实验室指标恢复时间、临床症状恢复时间、平均住院时间及治疗前后肿瘤坏死因子-α(TNF-α)、C-反应蛋白(CRP)水平进行对比。结果:观察组患者的总有效率明显高于对照组(P0.05);观察组患者的尿淀粉酶、血淀粉酶、白细胞恢复时间及平均住院时间均明显较对照组缩短(P0.05);观察组患者体温恢复时间、腹痛消失时间、腹胀消失时间、自助排便恢复时间、肾功能恢复时间均明显较对照组缩短(P0.05);治疗后,观察组与对照组患者的TNF-α与CRP水平均较治疗前降低(P0.05),且观察组患者的TNF-α与CRP水平较对照组降低的更显著(P0.05)。结论:腹腔镜胆囊切除术联合清胰汤治疗早期胆源性胰腺炎具有显著的疗效,可有效缩短治疗时间,值得临床推广。
[Abstract]:Objective: to investigate the clinical effect of laparoscopic cholecystectomy combined with Qingyi decoction in the treatment of early biliary pancreatitis. Methods: 102 patients with early biliary pancreatitis from March 2011 to March 2016 were randomly divided into two groups: the observation group and the control group. The patients in the control group were treated with laparoscopic cholecystectomy. The observation group was treated with laparoscopic cholecystectomy combined with Qingyi decoction. After the treatment, the clinical efficacy of the two groups was evaluated and compared, and the recovery time of laboratory indexes and clinical symptoms were compared between the two groups. The mean hospitalization time and the level of tumor necrosis factor-伪-TNF- 伪-TNF- 伪-C- reactive protein (CRP) before and after treatment were compared. Results: the total effective rate of the patients in the observation group was significantly higher than that in the control group (P 0.05), the recovery time of urine amylase, serum amylase, leukocyte and average hospitalization time of the patients in the observation group were significantly shorter than those in the control group, and the recovery time of body temperature in the observation group was significantly shorter than that in the control group. The time of disappearance of abdominal pain, distention, self-help defecation and renal function were significantly shorter than that of control group (P 0.05). The levels of TNF- 伪 and CRP in the observation group and the control group were lower than those before treatment, and the levels of TNF- 伪 and CRP in the observation group were significantly lower than those in the control group. Conclusion: laparoscopic cholecystectomy combined with Qingyi decoction is effective in the treatment of early biliary pancreatitis.
【作者单位】：天津医科大学宝坻临床学院外一科;天津市宝坻区人民医院外一科;
【分类号】：R657.51

【相似文献】