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目的:探讨中西医结合治疗和单纯西医治疗急性胰腺炎的临床效果。方法:选择我院2010年1月-2012年5月收治的急性胰腺炎患者86例,按治疗方法不同,将其分为治疗组与观察组,各43例,治疗组选择中西医结合治疗,观察组选择单纯西药治疗。结果:通过7d的治疗观察,治疗组总有效率为93.35%;观察组总有效率为81.40%。两组总有效率对比,治疗组明显高于观察组,且有统计学差异,P<0.05。治疗期间,治疗组腹痛缓解时间、血清淀粉酶恢复时间、体温恢复时间、胃肠蠕动恢复时间及白细胞恢复正常时间,与观察组各项对比,均有明显差异,P<0.05。两组患者治疗7d后有10例无效患者,均给予手术治疗。治疗组全部治愈出院,观察组1例患者术后症状未能改善,出现多器官衰竭,经抢救治疗无效死亡。结论:中西医结合治疗急性胰腺炎,疗效优越,且可有效降低死亡率,具有治疗过程中胰酶降低速度快、胃肠蠕动恢复快、体温及白细胞下降时间短等优点,值得临床广泛推广。
Objective: To explore the clinical effect of integrated traditional Chinese and western medicine treatment and Western medicine treatment of acute pancreatitis. Methods: A total of 86 patients with acute pancreatitis admitted from January 2010 to May 2012 in our hospital were divided into treatment group and observation group according to the different treatment methods, 43 cases in each group. The treatment group was treated with integrated traditional Chinese and western medicine, Observation group choose simple Western medicine treatment. Results: After 7 days of treatment, the total effective rate in the treatment group was 93.35%. The total effective rate in the observation group was 81.40%. The total effective rate of the two groups, the treatment group was significantly higher than the observation group, and there was a significant difference, P <0.05. During the treatment, the treatment group abdominal pain relief time, serum amylase recovery time, body temperature recovery time, gastrointestinal motility recovery time and normal white blood cell recovery time, compared with the observation group, were significantly different, P <0.05. Two groups of patients after treatment 7d after 10 cases of invalid patients were given surgical treatment. All the patients in the treatment group were cured and discharged. One patient in the observation group failed to improve their symptoms and developed multiple organ failure, and died after rescue treatment. Conclusion: Integrative Chinese and Western medicine treatment of acute pancreatitis, superior curative effect, and can effectively reduce the mortality rate, which has the advantages of rapid reduction of pancreatic enzyme during treatment, rapid recovery of gastrointestinal motility, shortened body temperature and leukopenia, etc., worthy of widespread clinical promotion.