清胰片在SAP恢复期中的治疗价值  

Therapeutic effect of pancreas clearing tablets (Qingyi pian) on severe acute pancreatitis

作　　者：苗彬[1] 崔乃强[1] 李忠廉[1] 马涛[1] 赵光[1] 王心[1] 

机构地区：[1]天津医科大学南开临床学院南开医院全国胆胰疾病诊疗中心,天津市300100

出　　处：《世界华人消化杂志》2009年第13期1374-1377,共4页World Chinese Journal of Digestology

基　　金：十一五国家科技支撑计划基金资助项目;No.2006BAI04A15~~

摘　　要：目的:探讨清胰片对重症急性胰腺炎(severe acute pancreatitis,SAP)患者恢复期的治疗价值.方法:选择1997-01/2007-12我院符合纳入标准的SAP痊愈患者294例,失访及剔除22例,合格病例为272例,随机分为中药组和对照组,观察两组急性胰腺炎(acute pancreatitis,AP)复发及营养状态.结果:SAP患者出院12mo内AP复发率为46.3%(126/272).中药组出院12mo内AP的复发率较对照组显著下降(39.9%vs53.0%,P<0.05).中药组出院后6、12mo营养状态受损评分均较对照组明显减低(t=2.23,2.77,P<0.05或0.01).结论:出院后3mo内继续服用中药清胰片治疗可以减少SAP恢复期的远期AP的复发并可改善其营养状态.AIM： To explore the therapeutic ettect ot pancreatic clearance pills （Qingyi plan） on severe acute pancreatitis. METHODS： From January 1997 to December 2007, 272 cases of severe acute pancreatitis were randomly divided into traditional Chinese medi- cine group and control group. Their recurrence and nutritional status were recorded. RESULTS： The 1-year AP recurrence rate after discharge was 46.3% （126/272）. The 1-year AP recurrence rate of the Chinese medicine group was significantly lower than that of the control group （39.9% vs 53.0%, P 〈 0.05）. Nutritional damage score at 6 and 12 mo after discharge was significantly lower in Chinese herb group than in the control group （t = 2.23, 2.77, P 〈 0.05 or 0.01）. CONCLUSION： Use of pancreatic clearance pills within the first 3 months after discharge reduces long-term AP recurrence rate and improves nutritional status for SAP patients.

关 键 词：重症急性胰腺炎 复发 中药 营养 

分 类 号：R259[医药卫生—中西医结合]