中西医结合治疗急性重症胰腺炎28例  

Integrated traditional Chinese and Western medicine in treatment of severe acute pancreatitis:an analysis of 28 cases

作　　者：王黎明[1] 罗华[1] 王懿娜[2] 曾英[1] 苏惠芬[1] 

机构地区：[1]成都中医药大学附属绵阳医院,四川省绵阳市621000 [2]成都中医药大学,针灸英语四川省成都市610075

出　　处：《世界华人消化杂志》2007年第25期2747-2749,共3页World Chinese Journal of Digestology

摘　　要：目的:观察对照组(传统治疗组)与治疗组(中西医结合治疗组)对急性重症胰腺炎(severe acute pancreatits,SAP)的临床疗效.方法:48例随机分为对照组和治疗组,治疗组在西医常规治疗的基础上,以柴芍承气汤加减,汤药鼻管注入和直肠滴入,在胰腺体表投影部位芒硝碾碎成粉末与蜂蜜搅拌调制成膏状外敷、配合针灸、穴位注射新斯的明等中医药技术;分别对两组患者住院时间,腹痛腹胀缓解时间,肠鸣音恢复时间,血淀粉酶恢复时间及并发症及死亡发生率进行统计分析.结果:治疗组在住院天数(24±3.6d vs 32.5±2.5 d),腹痛(13.2±4.8h vs 25.6±5.1h),腹胀缓解时间(7.62±4.30h vs 12.5±5.1h),肠鸣音恢复时间(3.8±2.5h vs 8.2±2.25h),血淀粉酶恢复时间(6.5±1.0d vs 11_3±2.3d),并发症(25% vs 80%)及死亡率(7.14% vs 15%)明显短于或低于对照组.结论:中西医结合治疗SAP的疗效确切,值得推广应用.AIM： To observe the differences in therapeutic effects on severe acute pancreatitis between integrated traditional Chinese and Western medicine （therapeutic group） and Western medicine alone （control group）. METHODS： The therapeutic group was administered a combination of routine Western medicine and a series of traditional Chinese medicine approaches, such as injecting a modified decoction of chengqi including bupleurum and peony into the stomach and bowels via a stomach tube and a retention enema with applying an ointment of mirabilite powder and honey to the surface projection of the pancreas, acupuncture, and point injection with neostigmine. The control group was treated by routine Western medicine. The lengths of hospital stay, times before abdominal pain and distension improved, enterokinesia recovered, and amylzyme of blood reduced to normal, as well as complications and mortality rates between the two groups were summarized and then analyzed. RESULTS： The hospital stay of the therapeutic group was shorter than in the controls （24 ± 3.6 d vs 32.5 ± 2.5 d）. Abdominal pain and distension in the therapeutic group improved quicker than in the controls （13.2 ± 4.8 h vs 25.6 ± 5.1 h, and 7.62 ± 4.30 h vs 12,5 ± 5.1 h）. The time for recovery of enterokinesia, and amylzyme of blood reduced to normal was shorter in the therapeutic group than in the controls （3.8 ± 2.5 d vs 8.2 ± 2.25 d, and 6.5 ± 1.0 d vs 11.3 ± 2.3 d）. Complications and mortality rate in the therapeutic group were clearly lower than in the controls （25% vs 80%, and 7.14% vs 15%, respectively）. CONCLUSION： There are significant therapeutic effects on severe acute pancreatitis from treatment with integrated traditional Chinese and Western medicine. Hence the method is worth recommending for widespread use.

关 键 词：急性重症胰腺炎 中西医结合 疗效评价 

分 类 号：R576[医药卫生—消化系统]