摘要
目的:探析中西医结合疗法在重症胰腺炎(severe acute pancreatitis,SAP)治疗中的效果。方法:选取2013年1月-2019年12月本院接治的30例SAP患者纳入观察研究中,基于乱数表法分成试验组和对照组,各15例;对照组采用常规西药治疗,试验组联用中药清胰汤治疗,治疗1周后评估两组中医证候评分、急性生理与慢性健康(APACHE Ⅱ)评分,并掌握总有效率和不良反应情况。结果:治疗后两组中医证候评分、APACHE Ⅱ评分均低于治疗前,且试验组评分均低于对照组,差异均有统计学意义(P<0.05)。试验组总有效率为86.67%,对照组为73.13%,差异无统计学意义(P>0.05)。两组均未出现明显不良反应。结论:对SAP采用中西结合治疗有良好效果,能更好改善症状和体征,促进病情转归,且有较高安全性,值得临床应用。
Objective:To explore the effect of combined traditional Chinese and western medicine in treatment of severe acute pancreatitis (SAP).Method:A total of 30 SAP patients treated in our hospital from January 2013 to December 2019 were selected and divided into the experimental group and the control group based on random number table method,15 cases in each group.The control group was treated with conventional western medicine,and the experimental group was treated with Qingyi Decoction.After 1 week of treatment,TCM syndrome score,acute physiology and chronic health score (APACHE Ⅱ) of the two groups were evaluated,the total effective rate and adverse reactions were observed.Result:After treatment,TCM syndrome score and APACHE Ⅱ score in the two groups were lower than those before treatment,and the scores in the experimental group were lower than those in the control group,the differences were statistically significant (P<0.05).The total effective rate was 86.67% in the experimental group and 73.13% in the control group,there was no statistically significant difference (P>0.05).There were no obvious adverse reactions in both groups.Conclusion:the treatment of SAP with integrated Chinese and Western medicine has good effect,can better improve symptoms and signs,promote the prognosis of the disease,and has high safety,which is worthy of clinical application.
作者
何绍吾
陈怀宇
李玮
HE Shaowu;CHEN Huaiyu;LI Wei(People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350000,China)
出处
《中外医学研究》
2020年第28期46-48,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
重症胰腺炎
西药
清胰汤
疗效
Severe pancreatitis
Western medicine
Qingyi Decoction
Curative effect
