中西医结合治疗急性胆源性胰腺炎临床观察
发布时间：2018-08-21 11:55
【摘要】：目的:观察中西医结合治疗急性胆源性胰腺炎的临床疗效。方法:将诊断为急性胆源性胰腺炎拒绝接受手术治疗或要求进行内科保守治疗的124例患者随机分为治疗组62例和对照组62例。对照组治疗禁食并予以西咪替丁(或洛赛克)、善得定(或抑肽酶)、抗生素(左氧氟沙星、甲硝唑)联合治疗;禁食期间的肠外营养用葡萄糖和脂肪乳加多种维生素。治疗组在对照组用药的基础上加用黄连温胆汤加味治疗。结果:治疗组7天内治愈56例,对照组治愈20例(P0.01);治疗组与对照组比较,在7天内尿淀粉酶恢复正常的例数分别为56例和28例,腹痛缓解时间分别为(1.83±1.43)天和(5.26±3.73)天,两组比较差异有统计学意义(均P0.01)。结论:西药常规治疗辅以黄连温胆汤加味对急性胆源性胰腺炎的疗效较西药常规治疗具有明显优势。
[Abstract]:Objective: to observe the clinical effect of integrated traditional Chinese and western medicine on acute biliary pancreatitis. Methods: 124 patients who had been diagnosed as acute biliary pancreatitis who refused to undergo surgery or required conservative medical treatment were randomly divided into treatment group (n = 62) and control group (n = 62). The control group was treated with cimetidine (or loseck), aprotinin (or aprotinin), antibiotics (levofloxacin, metronidazole), and parenteral nutrition during fasting with glucose and fat milk plus multivitamins. The treatment group was treated with Huanglian Wendan decoction on the basis of the control group. Results: 56 cases were cured within 7 days in the treatment group, 20 cases in the control group (P0.01), 56 cases in the treatment group and 28 cases in the control group in which urine amylase returned to normal, the relief time of abdominal pain was (1.83 卤1.43) days and (5.26 卤3.73) days, respectively. There was significant difference between the two groups (P 0.01). Conclusion: the curative effect of traditional western medicine combined with Huanglian Wendan decoction on acute biliary pancreatitis is superior to that of western medicine.
【作者单位】： 成都中医药大学附属医院
【分类号】：R576
本文编号：2195637
[Abstract]:Objective: to observe the clinical effect of integrated traditional Chinese and western medicine on acute biliary pancreatitis. Methods: 124 patients who had been diagnosed as acute biliary pancreatitis who refused to undergo surgery or required conservative medical treatment were randomly divided into treatment group (n = 62) and control group (n = 62). The control group was treated with cimetidine (or loseck), aprotinin (or aprotinin), antibiotics (levofloxacin, metronidazole), and parenteral nutrition during fasting with glucose and fat milk plus multivitamins. The treatment group was treated with Huanglian Wendan decoction on the basis of the control group. Results: 56 cases were cured within 7 days in the treatment group, 20 cases in the control group (P0.01), 56 cases in the treatment group and 28 cases in the control group in which urine amylase returned to normal, the relief time of abdominal pain was (1.83 卤1.43) days and (5.26 卤3.73) days, respectively. There was significant difference between the two groups (P 0.01). Conclusion: the curative effect of traditional western medicine combined with Huanglian Wendan decoction on acute biliary pancreatitis is superior to that of western medicine.
【作者单位】： 成都中医药大学附属医院
【分类号】：R576
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