中西医结合治疗急性胰腺炎临床观察  

Clinical Research of Integrated Chinese and Western Medicine Therapy for Treatment of Acute Pancreatitis

作　　者：范明[1] 赖洁珊[1] 廖艳烨 蔡秀薇[1] 

机构地区：[1]广东省第二中医院脾胃病科,广东广州510095

出　　处：《新中医》2015年第8期68-70,共3页New Chinese Medicine

摘　　要：目的:观察中西医结合治疗急性胰腺炎的临床疗效。方法:将42例急性胰腺炎患者随机分为2组各21例,对照组采用禁食、胃肠减压、抑制胰酶分泌、抑制胃酸分泌、防治感染、营养支持、维持水、电解质平衡及酸碱平衡等常规治疗;治疗组在对照组治疗基础上加用通腑泄热、祛湿化瘀、理气止痛的辨证中药内服或灌肠,并结合本院自制中药硬膏外敷上腹部。治疗10天。结果:2组总有效率比较,差异无统计学意义(P>0.05)。治疗组上腹痛、腹胀、恶心呕吐和上腹部压痛等症状、体征的恢复时间,血、尿淀粉酶和血白细胞指标复常时间,住院时间和住院费用均少于对照组(P<0.05)。结论:在西医常规治疗基础上结合辨证中药治疗急性胰腺炎临床疗效较好。Objective- To study the therapeutic effect of integrated Chinese and Western medicine for acute pancreatitis. Methods： A total of 42 cases diagnosed as acute pancreatitis were randomly divided into two groups by random number chart, 21 cases in each group. The control group received regular western medical treatment, such as fasting, gastrointestinal decompression, inhibition of pancreatin and gastric acid secretion, anti-infection medicine, supporting therapy, and maintaining the balance of water and electrolyte as well as the balance of acid and alkali. The treatment group received additional Chinese medicine with the actions of unblocking bowels and purging heat, dispelling dampness and removing blood stasis, regulating qi to alleviate pain by oral administration or enema, combined with external application of plaster on upper abdomen. The treatment course lasted 10 days. Results： No statistical significant difference were found in the total effective rate between the two groups（P〉0.05）. The time for the relief of upper abdominal pain and tenderness, abdominal distention, nausea and vomiting, and time for serum and urine amylase and white blood cell count recovering to the normal in the treatment group were shorter than those in the control group（P〈0.05）. The hospitalization time and fee in the treatment group were also less than those in the control group （P〈0.05）. Conclusion： Integrated Chinese and western medicine therapy has certain effect for the treatment of acute pancreatitis.

关 键 词：急性胰腺炎 中西医结合治疗 外敷 

分 类 号：R657.51[医药卫生—外科学]