中西医结合治疗重症急性胰腺炎的临床研究
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Clinical study on use of combination of traditional chinese and western medicine for severe acute pancreatitis
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    摘要:

    目的 探讨中西医结合方法治疗重症急性胰腺炎(SAP)的经验。
    方法 对12年间收治的240例SAP患者随机分为西医组(A组)100例和中西医结合组(B组)140例。A组单纯用西医方法治疗;B组用中西医结合方法治疗。两组的西医疗法完全相同。两组的手术治疗主要指征为胆源性胰腺炎、病程后期的感染和局部并发症(A组10例,B组6例)。
    结果 B组治疗后血尿淀粉酶和C反应蛋白显著下降。A,B组并发症的发生率分别为55.00%和12.86%(P<0.01),病死率分别为27.00%和8.57%(P<0.01),中转手术率分别为10.00%和4.29%(P<0.01)。
    结论 中西医结合方法治疗SAP是有效的治疗方法,与单纯西医治疗方法比较,能明显减少并发症的发生和降低病死率。

    Abstract:

    Abstract:Objective To study the experiences of severe acute pancreatitis (SAP) treated by combmation of traditional Chinese and western medicine.
    Methods Two hundred and forty patients with SAP were divided into A and B groups randomly,140 patients of group B were treated by combination of traditional Chinese and western medicine;100 patients of group A were treated by western medicine.
    Results After treatment in group B, the serum and urine amylase, and c-reactive protein,signiflcantly decreased.The complication rate of group A and group B was 55.00 % and 12.86 %(P<0.01),The mortality of A and B was 27.00 % and 8.57 % respectively(P<0.01).The operation conversion rate of group A and B group was 10.00 % and 4.29 % respectively(P<0.01).
    Conclusions Compared to use of western medicine alone, combination of traditional chinese and western medicine can effectively treat SAP, and can significantly decrease the complication and mortality rate of SAP.

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陈勇, 张福鑫, 李金龙, 陈生贵, 王俊, 张乙川, 李劲.中西医结合治疗重症急性胰腺炎的临床研究[J].中国普通外科杂志,2007,16(10):16-996.
DOI:10.7659/j. issn.1005-6947.2007.10.014

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  • 在线发布日期: 2007-10-25