中西医结合治疗重症急性胰腺炎的临床研究  

Clinical study on use of combination of traditional chinese and western medicine for severe acute pancreatitis

作　　者：陈勇[1] 张福鑫[1] 李金龙[1] 陈生贵[1] 王俊[1] 张乙川[1] 李劲[1] 

机构地区：[1]攀枝花学院附属医院肝胆胰外科,四川攀枝花617000

出　　处：《中国普通外科杂志》2007年第10期994-996,共3页China Journal of General Surgery

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。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, significantly 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.

关 键 词：胰腺炎 急性坏死性 中西医结合疗法 对比研究 

分 类 号：R657.51[医药卫生—外科学]