中西医结合治疗重症急性胰腺炎临床疗效观察.doc

中西医结合治疗重症急性胰腺炎临床疗效观察摘要目的:观察中西医结合治疗重症急性胰腺炎的临床疗效。方法:收治重症急性胰腺炎患者52例,运用随机数字表法将其分为对照组和观察组,对照组仅进行西医常规内科治疗,而观察组在西医常规治疗的基础上加上中医药治疗,12天后比较两组的临床治疗效果。结果:观察组和对照组总有效分别有17例和12例,总有效率分别为7308%和4615%,两组治疗有效率差异有统计学意义(X2=3914,P<005)。结论:大承气汤结合西医常规治疗重症急性胰腺炎疗效优于单纯西药治疗,能明显提高其临床疗效。关键词中西医结合重症急性胰腺炎临床疗效 doi:.1007- AbstractObjective::Forty-eightpatientswhoweretreatedintheintensivecareunitDepartmentinourhospitalfromdecember2009todecember2011weredividedintocontrolgroupandobservationgroup,thecontrolgroupweregivenroutinewesterntherapy,biningamoreidealdrugwithroutinewesternmedicine,:Aftertreatment,theoverallresponserateofthecontrolgroupandobservationgroupwas7308%(17/26)and4615%(12/26),(P<005)bythechi-,whichcanimprovethepatient'sclinicalefficacy,reducethemortalityrateeffectivelyandenhanceitsdailylivinginyoungpeople,itisworthyofapplyingforclinical. KeyWordsConbinedtreatmentoftraditionalChinesemedicineandwesternmedicine;Severeacutepancreatitis;Cliniceffect 急性胰腺炎是患者胰腺自身分泌的消化酶被激活导致自身消化现象,是临床常见的急腹症之一,而重症急性胰腺炎发病率较高,占急性胰腺炎病10%~15%。该亚型患者具有发病急、进展快、临床表现复杂、并发症多、病死率高及治疗棘手等特点[1,2]。