中西医结合治疗对急性重症胰腺炎预后的影响  

Prognosis of acute pancreatitis treated by combined traditional Chinese and western medicine

作　　者：吴晓英[1] 王峥屹[2] 

机构地区：[1]成都市第二人民医院消化科,四川成都610017 [2]四川省天然药物研究所

出　　处：《中国中西医结合消化杂志》2011年第3期170-172,共3页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

摘　　要：[目的]探讨中西医结合治疗对急性重症胰腺炎(SAP)预后的影响。[方法]76例SAP患者随机分成观察组53例,对照组23例。观察组采用西药加中药清胰汤,对照组仅予西药治疗,观察2组患者入院后腹泻开始时间及次数、腹部体征、症状改善情况与住院时间、预后的关系。[结果]观察组临床症状及体征缓解时间、住院时间明显短于对照组(P<0.05);全身炎症反应综合征(SIRS)、多脏器功能障碍综合征(MODS)病死率亦低于对照组(P<0.05);观察组中7例死亡,对照组6例死亡。[结论]中西医结合治疗SAP可阻止病情的进一步发展,减少并发症和缩短住院时间,改善预后,腹泻时间越早,预后越好。[Objective]To study the prognosis of severe acute pancreatitis（SAP）treated by combined traditional Chinese and western drugs.[Methods]Randomly,76 cases of SAP were divided into two groups,treatment group（n=53）and control group（n=23）.Treatment group was given the combined Qingyi soup and related western drugs,and control group was just given related western drugs.The diarrhea starttime and frequency,belly sign,symptoms accompanied,hospital length of stays and prognosis et al were detected.[Results]Compared with those of control group,the symptoms and signs remission time and hospital length of stays were obviously shorten in the treatment group,and SIRS,MODS incidence and fatality rate decreased significantly（P0.05）.Seven cases died in the treatment group and six cases died in the control.[Conclusion]Combined traditional Chinese and western medicine is effective in preventing patient＇s condition worsen,decreasing complication,reducing hospital stays,improving prognosis for acute pancreatitis patients.The earlier the diarrhea,the better the prognosis.

关 键 词：胰腺炎 急性重症 清胰汤 中西医结合疗法 

分 类 号：R576[医药卫生—消化系统] R2-031[医药卫生—内科学]