经皮经肝胆囊穿刺引流联合中西医疗法在老年性胆源性胰腺炎治疗中的价值(63例分析)  

Value of percutaneous transhepatic gallbladder drainage combined with traditional Chinese and Western medicine in the treatment of senile biliary pancreatitis(analysis of 63 cases)

作　　者：曹建华[1] 郝卫东[1] 马季军[1] 赵秀莲[1] 苏凤英 

机构地区：[1]济宁医学院附属金乡医院,272200 [2]济宁市妇幼保健院

出　　处：《中国实用医药》2013年第34期5-7,共3页China Practical Medicine

摘　　要：目的探讨经皮经肝胆囊穿刺引流结合中西医疗法治疗老年性胆源性胰腺炎的临床价值。方法 63例老年性胆源性胰腺炎随机分成两组,其中对照组30例,给予中西医综合治疗;观察组33例于早期行经皮经肝胆囊穿刺引流联合中西医综合治疗,观察疗效并对比分析。结果与对照组相比,腹痛、腹胀、腹肌紧张等症状减轻明显,生化指标、胃肠功能恢复时间缩短,住院时间缩短,并发症少,差异有统计学意义(P<0.05)。病死率低,但差异无统计学意义(P>0.05)。结论对老年性胆源性胰腺炎早期给予经皮经肝胆囊穿刺引流联合中西医疗法,具有较好的效果,值得在临床推广应用。Objective To discuss the clinical value of percutaneous transhepatic gallbladder drainage combined traditional Chinese and western medicine therapy in the treatment of senile biliogenic pancreatitis. Methods 63 cases of senile biliogenic pancreatitis were randomly divided into two groups, including 30 cases of the control group, given comprehensive treatment of Chinese medicine and Western medicine, and 33 cases in observation group, given early pereutaneous treatment of liver gallbladder puncture drainage combined traditional Chinese and Western medicine;clinical observation and comparative analysis were performed. Results Com- pared with the control group, symptoms such as abdominal pain, abdominal distension, abdominal muscle ten- sion neduces significantly, biochemical indicators, gastrointestinal function recovery time, shorter hospital stay, fewer complications, there was a significant difference （ P 〈 0.05 ）. The mortality rate is low, but the difference was not statistically significant （P 〉 0. 05）. Conclusion Percutaneous transhepatic gallbladder drainage combined with Chinese and Western medical treatment of early senile biliogenic pancreatitis has good effect, and is worth in clinical application.

关 键 词：经皮经肝胆囊穿刺引流 联合 中西医疗法 老年性胆源性胰腺炎 治疗价值 

分 类 号：R657.4[医药卫生—外科学]