中医综合治疗方案联合内镜治疗急性胆源性胰腺炎临床观察  

Clinical Observation of Integrative Traditional Chinese Medicine Combined with Endoscope Treating Acute Biliary Pancreatitis

作　　者：毕保洪[1] 李伟[1] 李华[1] 

机构地区：[1]河北联合大学附属唐山市中医医院,河北唐山063000

出　　处：《中国中医急症》2014年第10期1813-1815,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：河北省中医药管理局资助项目(20131968)

摘　　要：目的观察中医综合治疗方案联合内镜治疗急性胆源性胰腺炎(ABP)的疗效。方法将ABP患者123例,采用单盲随机分为治疗组61例和对照组62例,两组均给予急诊内镜治疗,治疗组在内镜治疗基础上联合分期辨证中药口服、腹部外敷及穴位针刺和穴位药物注射中医综合治疗方案,采集两组治疗前后症状及阳性体征消失的时间,白细胞、血尿淀粉酶恢复情况,住院时间等指标进行统计学分析。结果治疗组总有效率为91.80%,对照组为79.03%;治疗组在临床症状及阳性体征的改善、血液常规生化检查指标的恢复及患者住院时间等方面均优于对照组(均P<0.05)。结论中医综合治疗方案联合内镜治疗ABP疗效可靠,能够迅速改善临床症状、控制病情进一步发展、减少并发症的出现、缩短病程、提高治愈率。Objective： To investigate the therapeutic effect of integrative traditional Chinese medicine combined with endoscope treating acute biliary pancreatitis（ABP）. Methods： 123 patients with ABP were randomly divided into treatment group （61 cases） and control group （62 cases）. The two groups were given emergency endoscopic treatment. Patients in the treatment group were added with integrative traditional Chinese medicine according to different stages of differentiation. The clinical effects were analyzed and the data （improvement of clinical symp- toms and signs ,time of white blood cells and amylase recovery,hospital stays）were collected and compared. Re- sults： The total effective rate of the treatment group（91.80% ） was superior to that of the control group （79.03%） （P 〈 0.05）. Treatment group showed shorter time to improve clinical symptoms and signs,normal level of white blood cells,blood routine and biochemical parameters,and hospital stays. The difference was statistically signifi- cant（P〈 0.05）. Conclusion： Integrative traditional Chinese medicine combined with endoscope is more effective for ABP,and it can obviously shorten the time of treatment.

关 键 词：急性胆源性胰腺炎 分期辨证 中药 穴位针刺注射 内镜 

分 类 号：R657.51[医药卫生—外科学]